Provider Demographics
NPI:1861819880
Name:ANGELS ON ASSIGNEMNTS
Entity Type:Organization
Organization Name:ANGELS ON ASSIGNEMNTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:LARIKA
Authorized Official - Middle Name:LAVERNE
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-396-1264
Mailing Address - Street 1:235 WESTCLIFFE CT
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30349-1479
Mailing Address - Country:US
Mailing Address - Phone:330-396-1264
Mailing Address - Fax:
Practice Address - Street 1:235 WESTCLIFFE CT
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30349-1479
Practice Address - Country:US
Practice Address - Phone:330-396-1264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care