Provider Demographics
NPI:1760749840
Name:THREE ANGELS HOME HEALTH
Entity Type:Organization
Organization Name:THREE ANGELS HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PIUS
Authorized Official - Middle Name:P
Authorized Official - Last Name:MUTALEMWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-404-6901
Mailing Address - Street 1:143 KENNEDY ST NW
Mailing Address - Street 2:SUITE 11
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-5228
Mailing Address - Country:US
Mailing Address - Phone:301-404-6901
Mailing Address - Fax:202-290-3487
Practice Address - Street 1:143 KENNEDY ST NW
Practice Address - Street 2:SUITE 11
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-5228
Practice Address - Country:US
Practice Address - Phone:301-404-6901
Practice Address - Fax:202-290-3487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-13
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health