Provider Demographics
NPI:1871124438
Name:ANGELS AT WORK ADULT DAYCARE LLC
Entity type:Organization
Organization Name:ANGELS AT WORK ADULT DAYCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONSHAY
Authorized Official - Middle Name:LEANDA
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-496-5666
Mailing Address - Street 1:3932 ALBERS POINTE DR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63034-1050
Mailing Address - Country:US
Mailing Address - Phone:314-496-5666
Mailing Address - Fax:
Practice Address - Street 1:7058 W FLORISSANT AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-2561
Practice Address - Country:US
Practice Address - Phone:314-496-5666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-31
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care