Organization
TANGELA EDWARDS
Active
Other names
CREATIVE ANGELS
Organization subpart
No
Provider details
NPI number
Authorized official
TANGELA RICHELLE EDWARDS (CEO)
(281) 226-3784
Entity
Organization
Contact information
Practice address
12655 KUYKENDAHL RD APT 2205, HOUSTON, TX 77090-6933
(281) 226-3784
Mailing address
12655 KUYKENDAHL RD APT 2205, HOUSTON, TX 77090-6933
(281) 226-3784
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
TX
Other
Enumeration date
06/08/2007
Last updated
08/22/2020
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