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Organization
ANGEL'S NEST INC.
Active
Organization
ANGEL'S NEST INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALIKA BRUNO (EXECUTIVE DIRECTOR)
(240) 242-9716
Entity
Organization
Contact information
Practice address
14420 WALTERS RD UNIT 69, HOUSTON, TX 77014-1349
(240) 242-9716
Mailing address
4057 RILEY FUZZEL RD # 500-230, SPRING, TX 77386-4632
(240) 242-9716
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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