Provider Demographics
NPI:1427237841
Name:THE ANGEL HOUSE OF MARION COUNTY, INC.
Entity type:Organization
Organization Name:THE ANGEL HOUSE OF MARION COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:
Authorized Official - Last Name:PINDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-369-0068
Mailing Address - Street 1:2109 SW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-1941
Mailing Address - Country:US
Mailing Address - Phone:352-369-0068
Mailing Address - Fax:866-270-9891
Practice Address - Street 1:2109 SW 7TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-1941
Practice Address - Country:US
Practice Address - Phone:352-369-0068
Practice Address - Fax:866-270-9891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child