Provider Demographics
NPI:1669968939
Name:AN ANGELS TOUCH HOMEMAKER & COMPANION CARE
Entity type:Organization
Organization Name:AN ANGELS TOUCH HOMEMAKER & COMPANION CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMININSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRELL HALL
Authorized Official - Suffix:
Authorized Official - Credentials:HOME BASED COMMUNITY
Authorized Official - Phone:813-325-5630
Mailing Address - Street 1:6205 TRAVIS BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-5501
Mailing Address - Country:US
Mailing Address - Phone:813-325-5630
Mailing Address - Fax:813-325-5630
Practice Address - Street 1:6205 TRAVIS BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-5501
Practice Address - Country:US
Practice Address - Phone:813-325-5630
Practice Address - Fax:813-325-5630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-10
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL235314376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty