Provider Demographics
NPI:1447714779
Name:LOVING ANGELS PPEC INC
Entity type:Organization
Organization Name:LOVING ANGELS PPEC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEYRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-355-4722
Mailing Address - Street 1:18551 NW 82ND AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-2619
Mailing Address - Country:US
Mailing Address - Phone:786-355-4722
Mailing Address - Fax:
Practice Address - Street 1:13115 W OKEECHOBEE RD STE 111
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-6056
Practice Address - Country:US
Practice Address - Phone:786-355-4722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center