MEDICARE: AANGELS QUALITY HEALTH SERVICES

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
1	251E00000X	Home Health Agency
2	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1831597251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AANGELS QUALITY HEALTH SERVICES

Provider Business Mailing Address
First Line	:	5403 W WESTBERRY DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1855
Country	:	US
Telephone Number	:	210-396-8562
Fax Number	:

Provider Business Practice Location Address
First Line	:	1633 BABCOCK RD # 242
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4725
Country	:	US
Telephone Number	:	210-396-8562
Fax Number	:

Authorized Official
Title or Position	:	C.O.O.
Name	:	HENRY ANGEL
Credential	:
Telephone Number	:	210-396-8562

Provider Enumeration Date	:	12/17/2014
Last Update Date	:	12/17/2014

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