Provider Demographics
NPI:1336382613
Name:ANGELS ON ASSIGNMENT, LLC
Entity Type:Organization
Organization Name:ANGELS ON ASSIGNMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:FLANNEL
Authorized Official - Last Name:ASHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-452-1934
Mailing Address - Street 1:939 LAUREL GREEN RD
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2856
Mailing Address - Country:US
Mailing Address - Phone:832-452-1934
Mailing Address - Fax:281-499-6844
Practice Address - Street 1:939 LAUREL GREEN RD
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2856
Practice Address - Country:US
Practice Address - Phone:832-452-1934
Practice Address - Fax:281-499-6844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX576988251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health