Angie'S Spa, Llc

LBN: Angie'S Spa, Llc
Angie'S Spa, Llc is an health care organization with primary practice located at 715 S Taft Ave , Fremont OH 43420-3200. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Angie'S Spa, Llc can be contacted via phone (419) 333-2710, or through Mougey, Angela via phone (419) 547-6458.

Contact Information

Primary practice address
715 S Taft Ave Fremont OH 43420-3200
Phone: (419) 333-2710
Fax: (419) 333-2710
Website:
Map and Directions
Authorized official contact:
Name: Mougey, Angela
Phone: (419) 547-6458

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X COSS021129 Ohio

Profile Details

NPI number 1629178082
LBN Legal business name Angie'S Spa, Llc
DBA Doing business as
Authorized official Mougey, Angela
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629178082 NPPES
Ohio MEDICAID 2471463

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