Provider Demographics
NPI:1811296734
Name:GROWING ANGELS INC.
Entity type:Organization
Organization Name:GROWING ANGELS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:786-234-4520
Mailing Address - Street 1:13530 SW 267TH ST
Mailing Address - Street 2:
Mailing Address - City:NARANJA
Mailing Address - State:FL
Mailing Address - Zip Code:33032-7715
Mailing Address - Country:US
Mailing Address - Phone:786-234-4520
Mailing Address - Fax:786-349-5562
Practice Address - Street 1:26917 SOUTH DIXIE HIGHWAY
Practice Address - Street 2:
Practice Address - City:NARANJA
Practice Address - State:FL
Practice Address - Zip Code:33032-7715
Practice Address - Country:US
Practice Address - Phone:786-234-4520
Practice Address - Fax:786-349-5562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care