Organization
ANGEL OF MERCY VILLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA NGOZI OJI (ADMINISTRATOR)
(713) 540-0019
Entity
Organization
Contact information
Practice address
8700 COMMERCE PARK DR STE 253, HOUSTON, TX 77036-7432
(713) 540-0019
(713) 981-6395
Mailing address
8700 COMMERCE PARK DR STE 253, HOUSTON, TX 77036-7432
(713) 540-0019
(713) 981-6395
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020066
HCSSA
TX
Enumeration date
08/12/2020
Last updated
08/16/2020
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