Provider Demographics
NPI:1720670714
Name:ADM ANGELS INC.
Entity Type:Organization
Organization Name:ADM ANGELS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KELLEY
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCCALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-571-4885
Mailing Address - Street 1:100 GIBSON ST STE 6
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02122-2648
Mailing Address - Country:US
Mailing Address - Phone:617-571-4885
Mailing Address - Fax:617-288-7773
Practice Address - Street 1:100 GIBSON ST STE 6
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02122-2648
Practice Address - Country:US
Practice Address - Phone:617-571-4885
Practice Address - Fax:617-288-7773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)