Provider Demographics
NPI:1922350487
Name:AA ANGEL CARE INC
Entity Type:Organization
Organization Name:AA ANGEL CARE INC
Other - Org Name:CARING TOUCH HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:VITTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-380-3260
Mailing Address - Street 1:292 RIDGE RD
Mailing Address - Street 2:SUITE 13
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-7219
Mailing Address - Country:US
Mailing Address - Phone:337-233-7009
Mailing Address - Fax:337-233-7059
Practice Address - Street 1:292 RIDGE RD
Practice Address - Street 2:SUITE 13
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-7219
Practice Address - Country:US
Practice Address - Phone:337-233-7009
Practice Address - Fax:337-233-7059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-09
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203781134252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency