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NPI Code Detail

MEDICARE: ANGELUS HEALTH SERVICES, INC.

MEDICARE: ANGELUS HEALTH SERVICES, INC.
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
1251E00000XHome Health Agency008076TX
2251E00000XHome Health Agency015945TX

General Provider Information

NPI Number : 1629031646
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGELUS HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 17635 GLENWOLF DR.
Second Line :
City : HOUSTON
State : TX
Zip : 77084
Country : US
Telephone Number : 281-856-6305
Fax Number : 281-856-6260
Provider Business Practice Location Address
First Line : 16100 CAIRNWAY DR. STE. 240
Second Line :
City : HOUSTON
State : TX
Zip : 77084-3652
Country : US
Telephone Number : 281-856-6305
Fax Number : 281-856-6260
Authorized Official
Title or Position : DON/ADM./OWNER
Name : MRS. ROSA I. MARCELLA
Credential : RN. BSN
Telephone Number : 281-513-0269
Provider Enumeration Date : 04/10/2006
Last Update Date : 10/12/2016

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Directions to “ANGELUS HEALTH SERVICES, INC. ” Practice Location

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