Provider Demographics
NPI:1881347920
Name:ANNS ANGELS LLC
Entity type:Organization
Organization Name:ANNS ANGELS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARLTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-961-9666
Mailing Address - Street 1:2810 GREGARY AVE
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32796-1775
Mailing Address - Country:US
Mailing Address - Phone:321-269-1907
Mailing Address - Fax:321-269-1907
Practice Address - Street 1:2810 GREGARY AVE
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32796-1775
Practice Address - Country:US
Practice Address - Phone:321-269-1907
Practice Address - Fax:321-269-1907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-29
Last Update Date:2022-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency