Organization
ADELA'S ANGELS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADELA R SEGOVIA (CEO/DIRECTOR OF PROGRAMS)
(210) 845-7165
Entity
Organization
Contact information
Practice address
2719 RUNNING FAWN, SAN ANTONIO, TX 78261-4410
(210) 845-7165
Mailing address
2719 RUNNING FAWN, SAN ANTONIO, TX 78261-4410
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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