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NPI Code Detail

MEDICARE: ANGELIC CARE HOME HEALTH, INC.

MEDICARE: ANGELIC CARE HOME HEALTH, 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 Agency

General Provider Information

NPI Number : 1710084355
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGELIC CARE HOME HEALTH, INC.
Provider Business Mailing Address
First Line : 16530 SINALOA DR
Second Line :
City : HOUSTON
State : TX
Zip : 77083-3734
Country : US
Telephone Number : 281-491-0560
Fax Number : 281-491-2794
Provider Business Practice Location Address
First Line : 16530 SINALOA DR
Second Line :
City : HOUSTON
State : TX
Zip : 77083-3734
Country : US
Telephone Number : 281-491-0560
Fax Number : 281-491-2794
Authorized Official
Title or Position : ADMINISTRATOR/OWNER
Name : MRS. LAKEYSHA D BURFORD
Credential :
Telephone Number : 281-491-0560
Provider Enumeration Date : 09/17/2006
Last Update Date : 08/22/2020

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Directions to “ANGELIC CARE HOME HEALTH, INC. ” Practice Location

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