Organization
ANGELITOS HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DINA PENA (ADMINISTRATOR)
(956) 488-8434
Entity
Organization
Contact information
Practice address
2544 CENTRAL PALM DR, SUITE 107, RIO GRANDE CITY, TX 78582-6668
(956) 488-8434
(956) 488-8823
Mailing address
2544 CENTRAL PALM DR, SUITE 107, RIO GRANDE CITY, TX 78582-6668
(956) 488-8434
(956) 488-8823
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
012537
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001018931
STATE CONTRACT VENDOR NO.
TX
01
—
001018932
STATE CONTRACT VENDOR NO.
TX
01
—
012537
STATE LICENSE NO.
TX
Enumeration date
12/20/2005
Last updated
03/08/2024
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