Healthcare Provider Details

I. General information

NPI: 1376556951
Provider Name (Legal Business Name): ABSOLUTELY ANGELS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 05/10/2023
Certification Date: 05/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 S HIGHWAY 377 STE 104
PILOT POINT TX
76258-4469
US

IV. Provider business mailing address

730 S HIGHWAY 377 STE 104
PILOT POINT TX
76258-4469
US

V. Phone/Fax

Practice location:
  • Phone: 940-686-0324
  • Fax: 940-686-0809
Mailing address:
  • Phone: 940-686-0324
  • Fax: 940-686-0809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number009536
License Number StateTX

VIII. Authorized Official

Name: SUNIL RAI
Title or Position: PRESIDENT & CFO
Credential:
Phone: 940-686-0324