Provider Demographics
NPI:1023343217
Name:ANGELS-ARE-THERE, IN-HOME-CARE, LLC
Entity type:Organization
Organization Name:ANGELS-ARE-THERE, IN-HOME-CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:TULLY-ROOS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:520-579-0099
Mailing Address - Street 1:10890 N CAMINO DE OESTE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85742-9121
Mailing Address - Country:US
Mailing Address - Phone:520-579-0099
Mailing Address - Fax:
Practice Address - Street 1:10890 N CAMINO DE OESTE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85742-9121
Practice Address - Country:US
Practice Address - Phone:520-579-0099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care