Fallen Angels Llc

LBN: Fallen Angels Llc
Fallen Angels Llc is an health care organization with primary practice located at 5104 San Adan Ave Nw , Albuquerque NM 87120-1834. The organization recently has only one registered license in Other Service Providers / Health Educator, which is considered as the primary health care specialty. Fallen Angels Llc can be contacted via phone (626) 940-4511, or through Brown, Mariah Rae via phone (505) 389-8100.

Contact Information

Primary practice address
5104 San Adan Ave Nw Albuquerque NM 87120-1834
Phone: (626) 940-4511
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brown, Mariah Rae Nurse Practitioner (NP)
Phone: (505) 389-8100

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1316658008
LBN Legal business name Fallen Angels Llc
DBA Doing business as
Authorized official Brown, Mariah Rae Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2022
Last updated Dec 16th, 2022 - about 4 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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