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General NPI Number Information
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NPI Number | 1164408373
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Entity Type | Organization
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Legal Business Name | ANGELITOS HEALTH CARE INC
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 2544 CENTRAL PALM DR SUITE 107
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-6668
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Country | US
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Telephone | 956-488-8434
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Fax | 956-488-8823
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Provider Business Mailing Address
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Address Line | 2544 CENTRAL PALM DR SUITE 107
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-6668
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Country | US
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Telephone | 956-488-8434
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Fax | 956-488-8823
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DINA PENA
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Credential |
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Telephone | 956-488-8434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 012537
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License Number State | TX
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