Organization · NPI-2

Angel Health Services LLC

Skilled Nursing Facility · Brooklyn Park, MN

NPI number1013269067
StatusActive
Last updated in NPPESOct 15, 2012

Details

NPI
1013269067
Entity type
Organization (NPI-2)
Legal business name
Angel Health Services LLC
Organization subpart
Yes
Enumeration date
Oct 15, 2012
Last updated
Oct 15, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility––Yes
311ZA0620X Custodial Care Facility, Adult Care Home––
314000000X Skilled Nursing Facility15660842MN
3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric––

Practice location

2609 87th Trail N
Brooklyn Park, MN 55443

Phone 763-412-9921

Mailing address

2609 87th Trl N
Brooklyn Park, MN 55443-3742

Phone 763-412-9921

Authorized official

Philip Uwagwu
Ceo
7634129921

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