# GINA R. MOORE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Angel Wings Home Health Care Agency
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134357890
- **Authorized official:** MRS. GINA RENEE MOORE RN (ADMINISTRATOR)
- **Authorized official phone:** (281) 495-2937

## Contact information

- **Practice address:** 14601 BELLAIRE BLVD, SUITE 35, HOUSTON, TX 77083-2505
- **Practice address phone:** (281) 495-2937
- **Practice address fax:** (281) 879-7937
- **Mailing address:** 14601 BELLAIRE BLVD, SUITE 35, HOUSTON, TX 77083-2505
- **Mailing address phone:** (281) 495-2937
- **Mailing address fax:** (281) 879-7937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 011073 | TX | Yes |

## Other

- **Enumeration date:** 07/01/2009
- **Last updated:** 07/01/2009