Provider Demographics
NPI:1063157535
Name:ABLE ANGELS HEALTHCARE SERVICES
Entity type:Organization
Organization Name:ABLE ANGELS HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARITY
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNBO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:443-983-1457
Mailing Address - Street 1:4707 STELLABROOKE LN
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3745
Mailing Address - Country:US
Mailing Address - Phone:443-983-1457
Mailing Address - Fax:
Practice Address - Street 1:4707 STELLABROOKE LN
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-3745
Practice Address - Country:US
Practice Address - Phone:443-983-1457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-29
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health