Healthcare Provider Details

I. General information

NPI: 1134483696
Provider Name (Legal Business Name): ASSISTING ANGELS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2012
Last Update Date: 06/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 EAST BUTLER RD SUITE C
MAULDIN SC
29662
US

IV. Provider business mailing address

113 EAST BUTLER RD SUITE C
MAULDIN SC
29662
US

V. Phone/Fax

Practice location:
  • Phone: 864-288-7100
  • Fax: 864-288-0109
Mailing address:
  • Phone: 864-288-7100
  • Fax: 864-288-0109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. CARMEN TRAN DAVIS
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 864-288-7100