Provider Demographics
NPI:1740423672
Name:ANGELS HOME HEALTH SERVICES
Entity type:Organization
Organization Name:ANGELS HOME HEALTH SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:MUALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-542-7694
Mailing Address - Street 1:25479 VACATION PL
Mailing Address - Street 2:
Mailing Address - City:ALDIE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-3417
Mailing Address - Country:US
Mailing Address - Phone:703-542-7694
Mailing Address - Fax:703-542-7694
Practice Address - Street 1:25479 VACATION PL
Practice Address - Street 2:
Practice Address - City:ALDIE
Practice Address - State:VA
Practice Address - Zip Code:20105-3417
Practice Address - Country:US
Practice Address - Phone:703-542-7694
Practice Address - Fax:703-542-7694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care