Organization
ANGELS HAVEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRANG T CARR (MANAGING MEMBER / PRESIDENT)
(817) 262-0333
Entity
Organization
Contact information
Practice address
2724 CALICO ROCK DR, FORT WORTH, TX 76131-2034
(817) 262-0333
(817) 386-2929
Mailing address
4956 OBRIEN WAY, FORT WORTH, TX 76244-6142
(817) 262-0333
(817) 386-2929
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
132136
TX
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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