Provider Demographics
NPI:1972277564
Name:ANGIES SENIOR CARE & STAFFING
Entity Type:Organization
Organization Name:ANGIES SENIOR CARE & STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DIOGENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-301-0796
Mailing Address - Street 1:1460 BAYTREE DR NE STE D
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32905-3900
Mailing Address - Country:US
Mailing Address - Phone:321-301-0796
Mailing Address - Fax:321-327-8289
Practice Address - Street 1:1460 BAYTREE DR NE STE D
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32905-3900
Practice Address - Country:US
Practice Address - Phone:321-301-0796
Practice Address - Fax:321-327-8289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-06
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health