Healthcare Provider Details

I. General information

NPI: 1003842451
Provider Name (Legal Business Name): ANGELS PHH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 S COLLINS FRWY
HOWE TX
75459
US

IV. Provider business mailing address

PO BOX 338
HOWE TX
75459
US

V. Phone/Fax

Practice location:
  • Phone: 903-532-1400
  • Fax: 903-532-1401
Mailing address:
  • Phone: 903-532-1400
  • Fax: 903-532-1401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number008758
License Number StateTX

VIII. Authorized Official

Name: MRS. BONNIE MARIE WEST
Title or Position: PRESIDENT
Credential: LVN
Phone: 903-532-1400