Provider Demographics
NPI:1891099446
Name:ANGEL CARE HOSPICE,LLC
Entity Type:Organization
Organization Name:ANGEL CARE HOSPICE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:MOSQUERA
Authorized Official - Suffix:
Authorized Official - Credentials:MEDTECH
Authorized Official - Phone:302-734-4570
Mailing Address - Street 1:383 W NORTH ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-6748
Mailing Address - Country:US
Mailing Address - Phone:302-734-4570
Mailing Address - Fax:302-734-4571
Practice Address - Street 1:383 W NORTH ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-6748
Practice Address - Country:US
Practice Address - Phone:308-734-4570
Practice Address - Fax:302-734-4571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-22
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEHSPC015251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based