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NPI Code Detail

MEDICARE: MIDAS ANGELS PERSONAL CARE AND STAFFING AGENCY LLC

MEDICARE: MIDAS ANGELS PERSONAL CARE AND STAFFING AGENCY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant
2253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1174120117
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDAS ANGELS PERSONAL CARE AND STAFFING AGENCY LLC
Provider Business Mailing Address
First Line : 1515 HACKBERRY HEIGHTS DR
Second Line :
City : RICHMOND
State : TX
Zip : 77406-2813
Country : US
Telephone Number : 832-431-4852
Fax Number :
Provider Business Practice Location Address
First Line : 1515 HACKBERRY HEIGHTS DR
Second Line :
City : RICHMOND
State : TX
Zip : 77406-2813
Country : US
Telephone Number : 832-431-4852
Fax Number :
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : OGECHUKWU UDEOZO
Credential :
Telephone Number : 347-528-6580
Provider Enumeration Date : 10/02/2020
Last Update Date : 10/13/2021

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Directions to “MIDAS ANGELS PERSONAL CARE AND STAFFING AGENCY LLC ” Practice Location

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