Healthcare Provider Details

I. General information

NPI: 1891003604
Provider Name (Legal Business Name): ANGELS THAT WORK FOR QUALITY SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2010
Last Update Date: 09/08/2023
Certification Date: 09/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 SOUTHWEST FWY STE 326
HOUSTON TX
77074-1521
US

IV. Provider business mailing address

PO BOX 19187
SUGAR LAND TX
77496-9187
US

V. Phone/Fax

Practice location:
  • Phone: 832-488-9654
  • Fax: 832-203-5197
Mailing address:
  • Phone: 832-488-9654
  • Fax: 832-203-5274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MELANIE JORDAN-JOHNSON
Title or Position: CEO/ PROGRAM DIRECTOR
Credential:
Phone: 832-203-5197