Provider Demographics
NPI:1306590856
Name:GOD'S APPOINTED ANGELS,LLC
Entity type:Organization
Organization Name:GOD'S APPOINTED ANGELS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARICKA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SIMMS
Authorized Official - Suffix:
Authorized Official - Credentials:BUSINESS OWNER
Authorized Official - Phone:504-689-1962
Mailing Address - Street 1:1816 WATLING DR
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-4448
Mailing Address - Country:US
Mailing Address - Phone:504-689-1962
Mailing Address - Fax:
Practice Address - Street 1:1816 WATLING DR
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-4448
Practice Address - Country:US
Practice Address - Phone:504-689-1962
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOD'S APPOINTED ANGELS,LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-03
Last Update Date:2022-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing PersonnelGroup - Multi-Specialty