Provider Demographics
NPI:1841748852
Name:ANGENA HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:ANGENA HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARCY
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:BS, CPT
Authorized Official - Phone:334-557-7021
Mailing Address - Street 1:445 DEXTER AVE
Mailing Address - Street 2:STE 4050
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36104-3775
Mailing Address - Country:US
Mailing Address - Phone:334-557-7021
Mailing Address - Fax:509-692-6103
Practice Address - Street 1:445 DEXTER AVE
Practice Address - Street 2:SUITE 4050
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36104-3775
Practice Address - Country:US
Practice Address - Phone:334-557-7021
Practice Address - Fax:509-692-6103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)