Provider Demographics
NPI:1912345034
Name:ANGELS TCH INC
Entity Type:Organization
Organization Name:ANGELS TCH INC
Other - Org Name:ANGELS TOUCH ASSISTED LIVING CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VELMA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS-SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-416-6810
Mailing Address - Street 1:202 BUTLER AVE STE 306
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6306
Mailing Address - Country:US
Mailing Address - Phone:888-566-4201
Mailing Address - Fax:888-597-2332
Practice Address - Street 1:11207 COCOA BEACH DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33569-2949
Practice Address - Country:US
Practice Address - Phone:813-416-6810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-11
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12347310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility