Provider Demographics
NPI:1003457334
Name:ANGELIC CARE SERVICES
Entity type:Organization
Organization Name:ANGELIC CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOUGAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-507-1270
Mailing Address - Street 1:4480 GENERAL DEGAULLE DR STE 223
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-6306
Mailing Address - Country:US
Mailing Address - Phone:504-507-1270
Mailing Address - Fax:504-910-3014
Practice Address - Street 1:4480 GENERAL DEGAULLE DR STE 223
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-6306
Practice Address - Country:US
Practice Address - Phone:504-507-1270
Practice Address - Fax:504-910-3014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-08
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Single Specialty