Provider Demographics
NPI:1508611344
Name:TOUCH OF ANGELS CARE SERVICES LLC
Entity Type:Organization
Organization Name:TOUCH OF ANGELS CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEARY
Authorized Official - Suffix:
Authorized Official - Credentials:NURSING AIDE
Authorized Official - Phone:478-318-6670
Mailing Address - Street 1:116 E UNION ST
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:GA
Mailing Address - Zip Code:31092-1566
Mailing Address - Country:US
Mailing Address - Phone:478-318-6670
Mailing Address - Fax:
Practice Address - Street 1:116 E UNION ST
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:GA
Practice Address - Zip Code:31092-1566
Practice Address - Country:US
Practice Address - Phone:478-318-6670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-23
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty