EARTH ANGELS PEDIATRIC DAY CENTER LLC; NPI #1386374049

Contact Information

EARTH ANGELS PEDIATRIC DAY CENTER LLC

2045 N HWY 360 STE 100
GRAND PRAIRIE, TX 75050-1432

Phone: 954-234-5589
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medically Fragile Infants and Children Day Care	261QM3000X

Indicates primary specialty

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NPI Profile & details for EARTH ANGELS PEDIATRIC DAY CENTER LLC

NPI #	`1386374049`
LBN Legal business name	EARTH ANGELS PEDIATRIC DAY CENTER LLC
Authorized official	VICTORIA KELLY - (MANAGING MEMBER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/15/2022
Last updated	06/15/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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