Organization
VISITING ANGELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE GINA PANGLE (DIRECTOR)
(703) 291-1262
Entity
Organization
Contact information
Practice address
2106-E GALLOWS RD, VIENNA, VA 22182
(703) 291-1262
(703) 291-4974
Mailing address
2106-E GALLOWS RD, VIENNA, VA 22182
(703) 291-1262
(703) 291-4974
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
305S00000X
Point of Service
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103332117
—
VA
05
—
0153457566
—
VA
05
—
0167596789
—
VA
Enumeration date
03/29/2017
Last updated
03/29/2017
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