Provider Demographics
NPI:1841367521
Name:PERSONAL ANGELS INC.
Entity type:Organization
Organization Name:PERSONAL ANGELS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SPENCE
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:717-464-9365
Mailing Address - Street 1:2524 WILLOW STREET PIKE N
Mailing Address - Street 2:UNIT FIVE
Mailing Address - City:WILLOW STREET
Mailing Address - State:PA
Mailing Address - Zip Code:17584-9226
Mailing Address - Country:US
Mailing Address - Phone:717-464-9365
Mailing Address - Fax:717-464-3659
Practice Address - Street 1:2524 WILLOW STREET PIKE N
Practice Address - Street 2:UNIT FIVE
Practice Address - City:WILLOW STREET
Practice Address - State:PA
Practice Address - Zip Code:17584-9226
Practice Address - Country:US
Practice Address - Phone:717-464-9365
Practice Address - Fax:717-464-3659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019540320001OtherMA PROVIDER NUMBER