Provider Demographics
NPI:1528484680
Name:ANGELS ON DUTY
Entity type:Organization
Organization Name:ANGELS ON DUTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCESS
Authorized Official - Middle Name:ZAINAB
Authorized Official - Last Name:KAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:202-210-4729
Mailing Address - Street 1:4474 TORRENCE PL
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-5722
Mailing Address - Country:US
Mailing Address - Phone:202-210-4729
Mailing Address - Fax:
Practice Address - Street 1:4474 TORRENCE PL
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-5722
Practice Address - Country:US
Practice Address - Phone:202-210-4729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-13
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-141041251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health