Organization · NPI-2
Angel Nurse Registry LLC
In Home Supportive Care · Hialeah, FL
NPI number1942920046
StatusActive
Last updated in NPPESAug 30, 2022
Details
- NPI
- 1942920046
- Entity type
- Organization (NPI-2)
- Legal business name
- Angel Nurse Registry LLC
- Organization subpart
- No
- Enumeration date
- Aug 30, 2022
- Certification date
- Aug 30, 2022
- Last updated
- Aug 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
1275 W 47th Pl Ste 446Hialeah, FL 33012-3454
Phone 786-631-4777 · Fax 786-631-4779
Mailing address
1275 W 47th Pl Ste 446Hialeah, FL 33012-3454
Phone 786-631-4777 · Fax 786-631-4779
Authorized official
Damian Trejo
Owner
7866314777
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