Provider Demographics
NPI:1962918102
Name:ANGEL MESSENGER HOME HEALTH AGENCY
Entity type:Organization
Organization Name:ANGEL MESSENGER HOME HEALTH AGENCY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:QUESTEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-781-6389
Mailing Address - Street 1:PO BOX 421071
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34742-1071
Mailing Address - Country:US
Mailing Address - Phone:407-781-6389
Mailing Address - Fax:407-507-6254
Practice Address - Street 1:1802 CONCORD CIR APT H
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-3464
Practice Address - Country:US
Practice Address - Phone:407-781-6389
Practice Address - Fax:407-507-6254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-26
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health