National Provider Identifier Database

EARTH ANGELS PEDIATRIC DAY CENTER LLC
Medically Fragile Infants and Children Day Care

An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).


Contact Information

EARTH ANGELS PEDIATRIC DAY CENTER LLC
2045 N HWY 360 STE 100
GRAND PRAIRIE, TX75050-1432
Phone: 954-234-5589
Fax:
Website:
Specialty Taxonomy Code
* Medically Fragile Infants and Children Day Care 261QM3000X

* Indicates primary specialty

NPI Profile & details for EARTH ANGELS PEDIATRIC DAY CENTER LLC

NPI Number 1386374049
Legal business name
LBN
EARTH ANGELS PEDIATRIC DAY CENTER LLC
Authorized official VICTORIA KELLY - (MANAGING MEMBER)
Entity Organization
Organization subpart No
Enumeration date 06/15/2022
Last updated 06/15/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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