Provider Demographics
NPI:1174951875
Name:FRANKIES ANGELS
Entity type:Organization
Organization Name:FRANKIES ANGELS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:STATE TESTED NURSE ASSISTANT
Authorized Official - Prefix:MISS
Authorized Official - First Name:MORITA
Authorized Official - Middle Name:ESTELL
Authorized Official - Last Name:HIGHTOWER
Authorized Official - Suffix:
Authorized Official - Credentials:STNA
Authorized Official - Phone:419-984-2622
Mailing Address - Street 1:3402 POLK PL
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-1339
Mailing Address - Country:US
Mailing Address - Phone:419-984-2622
Mailing Address - Fax:
Practice Address - Street 1:3402 POLK PL
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-1339
Practice Address - Country:US
Practice Address - Phone:419-984-2622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-16
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400660180807261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========Medicare Oscar/Certification