Provider Demographics
NPI:1396491569
Name:ANGLES OF THE VALLEY
Entity type:Organization
Organization Name:ANGLES OF THE VALLEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:0WNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIONA
Authorized Official - Middle Name:CAPRICE
Authorized Official - Last Name:CLAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:234-223-1110
Mailing Address - Street 1:2927 YOUNGSTOWN RD SE STE 1
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-5280
Mailing Address - Country:US
Mailing Address - Phone:234-223-1110
Mailing Address - Fax:
Practice Address - Street 1:2927 YOUNGSTOWN RD SE STE 1
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-5280
Practice Address - Country:US
Practice Address - Phone:234-223-1110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-26
Last Update Date:2022-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care