Provider Demographics
NPI:1790134393
Name:ANNA'S ANGELS
Entity Type:Organization
Organization Name:ANNA'S ANGELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RUHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-807-7245
Mailing Address - Street 1:3702 PINOAK ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48348-1379
Mailing Address - Country:US
Mailing Address - Phone:248-807-7245
Mailing Address - Fax:
Practice Address - Street 1:3702 PINOAK ST
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48348-1379
Practice Address - Country:US
Practice Address - Phone:248-807-7245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-06
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health