Provider Demographics
NPI:1528470911
Name:ELDERLY ANGELS INC
Entity type:Organization
Organization Name:ELDERLY ANGELS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LANETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-442-7035
Mailing Address - Street 1:300 S. DUNCAN AVE.
Mailing Address - Street 2:SUITE 134
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33755-2140
Mailing Address - Country:US
Mailing Address - Phone:727-442-7035
Mailing Address - Fax:727-648-2091
Practice Address - Street 1:300 S DUNCAN AVE
Practice Address - Street 2:SUITE 134
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33755-6457
Practice Address - Country:US
Practice Address - Phone:727-442-7035
Practice Address - Fax:727-648-2091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-20
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty