Organization · NPI-2

Archangel Services LLC

Technician, Other, Renal Dialysis · Dayton, OH

NPI number1225821689

StatusActive

Last updated in NPPESMay 27, 2025

Details

NPI: 1225821689
Entity type: Organization (NPI-2)
Legal business name: Archangel Services LLC
Organization subpart: Yes
Enumeration date: May 27, 2025
Certification date: May 27, 2025
Last updated: May 27, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2472R0900X	Technician, Other, Renal Dialysis	–	–	Yes
251T00000X	PACE Provider Organization	–	–

Other names

Archangel Freight Services LLC (Former Legal Business Name)
Archangel Freight LLC (Former Legal Business Name)

Practice location

26 W Maplewood Ave
Dayton, OH 45405

Phone 937-219-8866

Mailing address

26 W Maplewood Ave
Dayton, OH 45405

Phone 937-219-8866

Authorized official

Devin Scott
Owner
9372198866

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