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NPI 1972426575

NPI 1972426575 : ANGELS OF MINE HOME CARE AGENCY LLC : MISSION, TX

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General NPI Number Information
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    NPI Number           |    1972426575
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANGELS OF MINE HOME CARE AGENCY LLC 
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Dates
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    Enumeration Date     |    07/31/2026
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    Last Update Date     |    07/31/2026
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Provider Practice Location Address
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    Address Line         |    3107 N HOLLAND AVE 
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    City                 |    MISSION
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    State                |    TX
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    Zip                  |    78574-1503
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    Country              |    US
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    Telephone            |    956-554-8416
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3103 N HOLLAND AVE 
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    City                 |    MISSION
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    State                |    TX
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    Zip                  |    78574-1503
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    Country              |    US
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    Telephone            |    956-933-2483
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     CHRISTINE  FONSECA 
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    Credential           |    
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    Telephone            |    956-554-8416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    
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