Organization
ANGELS PRN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELINDA SUE PEREZ (PRESIDENT)
(928) 726-9163
Entity
Organization
Contact information
Practice address
2755 S 4TH AVE BLDG 1, SUITE 101, YUMA, AZ 85364-7298
(928) 726-9163
(928) 726-1040
Mailing address
2755 S 4TH AVE BLDG 1, SUITE 101, YUMA, AZ 85364-7298
(928) 726-9163
(928) 726-1040
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA3767
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
920266
—
AZ
Enumeration date
05/24/2007
Last updated
12/30/2009
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