Organization
ANGELA'S OUTREACH COMMUNITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLINOR L NIXON (FOUNDER/DIRECTOR)
(409) 892-3026
Entity
Organization
Contact information
Practice address
5335 PINE BURR BLVD, BEAUMONT, TX 77708-5614
(409) 892-3026
(409) 892-3026
Mailing address
5335 PINE BURR BLVD, BEAUMONT, TX 77708-5614
(409) 892-3026
(409) 892-3026
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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