OrganizationActive
Angels Enterprise
NPI 1912030107 · Early Intervention Provider Agency · Harvey, IL
Provider details
- NPI number
- 1912030107
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Shataundria Cotton, Owner(708) 548-8474
Specialties & taxonomies
Agencies
Suppliers
- Home Health Agency251E00000X
Agencies
Practice location
14533 Jefferson St
Harvey, IL 60426-1813
Phone: (708) 548-8474
Fax: (815) 572-5803
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 277998
Riverdale, IL 60827-7998
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2008-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.