Provider Demographics
NPI:1790073500
Name:SADIE'S ANGELS LLC
Entity Type:Organization
Organization Name:SADIE'S ANGELS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:AUBREY
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:717-917-1420
Mailing Address - Street 1:3280 HORIZON DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-1216
Mailing Address - Country:US
Mailing Address - Phone:717-917-1420
Mailing Address - Fax:717-685-3651
Practice Address - Street 1:3280 HORIZON DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-1216
Practice Address - Country:US
Practice Address - Phone:717-917-1420
Practice Address - Fax:717-685-3651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA21713601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health