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Organization

MID CITY ANGELS L.L.C.

Active
Other names
visiting angels
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK JOSEPH SMITH (ADMINISTRATOR)
(817) 684-1996
Entity
Organization

Contact information

Practice address
906 PALOMINO DR, EULESS, TX 76039-3960
(817) 684-1996
(817) 358-9577
Mailing address
1452 HUGHES RD STE 200, GRAPEVINE, TX 76051-7367
(817) 684-1996
(817) 358-9577

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
011024
TX

Other

Enumeration date
01/25/2008
Last updated
01/25/2008
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