Organization
DOMINIQUE ANGELS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTIONETTE L RAVENELL HOME HEALTH AIDE (MANGER/HOME HEALTH AIDE)
(817) 500-3873
Entity
Organization
Contact information
Practice address
2200 CLOVER PARK DR, ARLINGTON, TX 76013-1434
(181) 750-0387
(817) 200-6203
Mailing address
2200 CLOVER PARK DR, ARLINGTON, TX 76013-1434
(817) 500-3873
(817) 200-6203
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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