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Organization
GUIDING ANGELS
Active
Organization
GUIDING ANGELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS EZIMAKO (OWNER)
(512) 212-1108
Entity
Organization
Contact information
Practice address
1205 WATER SPANIEL WAY, ROUND ROCK, TX 78664-3414
(512) 212-1108
(512) 212-1168
Mailing address
1205 WATER SPANIEL WAY, ROUND ROCK, TX 78664-3414
(512) 212-1108
(512) 212-1168
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
017038
TX
Other
Enumeration date
09/06/2016
Last updated
06/28/2017
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