Provider Demographics
NPI:1043465495
Name:TOUCHED BY AN ANGEL HOME HEALTH CARE
Entity type:Organization
Organization Name:TOUCHED BY AN ANGEL HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAKEKO
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-565-2254
Mailing Address - Street 1:33211 ROSE BUSH CT
Mailing Address - Street 2:
Mailing Address - City:LENOX
Mailing Address - State:MI
Mailing Address - Zip Code:48048-2147
Mailing Address - Country:US
Mailing Address - Phone:586-565-2254
Mailing Address - Fax:
Practice Address - Street 1:33211 ROSE BUSH CT
Practice Address - Street 2:
Practice Address - City:LENOX
Practice Address - State:MI
Practice Address - Zip Code:48048-2147
Practice Address - Country:US
Practice Address - Phone:586-565-2254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-27
Last Update Date:2008-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health