Provider Demographics
NPI:1447634084
Name:ANGELS AT MY DOOR LLC
Entity type:Organization
Organization Name:ANGELS AT MY DOOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:901-481-3389
Mailing Address - Street 1:2603 CORPORATE AVE E STE 1602603
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38132-1716
Mailing Address - Country:US
Mailing Address - Phone:901-481-3389
Mailing Address - Fax:901-266-4993
Practice Address - Street 1:2603 CORPORATE AVE E STE 160
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38132-1716
Practice Address - Country:US
Practice Address - Phone:901-481-3389
Practice Address - Fax:901-266-4993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-14
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care