Provider Demographics
NPI:1023258993
Name:ANGELS MEDICAL STAFFING AGENCY INC
Entity type:Organization
Organization Name:ANGELS MEDICAL STAFFING AGENCY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:I
Authorized Official - Last Name:STOUTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-221-1713
Mailing Address - Street 1:14805 DETROIT AVE
Mailing Address - Street 2:SUITE 450
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-3934
Mailing Address - Country:US
Mailing Address - Phone:216-221-1713
Mailing Address - Fax:216-221-4243
Practice Address - Street 1:14805 DETROIT AVE
Practice Address - Street 2:SUITE 450
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-3934
Practice Address - Country:US
Practice Address - Phone:216-221-1713
Practice Address - Fax:216-221-4243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health