# ANGEL'S PLACE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417556689
- **Authorized official:** YULY VANESSA OLOWO (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (903) 918-6690

## Contact information

- **Practice address:** 909 HIGHLAND DR, KILGORE, TX 75662-4040
- **Practice address phone:** (903) 918-6690
- **Mailing address:** 909 HIGHLAND DR, KILGORE, TX 75662-4040
- **Mailing address phone:** (903) 918-6690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372600000X | Adult Companion | — | NULL | Yes |
| 372600000X | Adult Companion | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2020
- **Last updated:** 10/20/2020