Provider Demographics
NPI:1740546860
Name:ANGEL'S TOUCH REHAB L.L.C.
Entity type:Organization
Organization Name:ANGEL'S TOUCH REHAB L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:DI PORTO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:305-495-5593
Mailing Address - Street 1:9719 S DIXIE HWY STE 7
Mailing Address - Street 2:
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-2834
Mailing Address - Country:US
Mailing Address - Phone:305-495-5593
Mailing Address - Fax:
Practice Address - Street 1:9719 S DIXIE HWY STE 7
Practice Address - Street 2:
Practice Address - City:PINECREST
Practice Address - State:FL
Practice Address - Zip Code:33156-2834
Practice Address - Country:US
Practice Address - Phone:305-495-5593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-03
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health