Organization
ANGELIC CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBENEZER BAMIDELE AYODELE CEO (CHIEF EXECUTIVE OFFICER)
(512) 786-0327
Entity
Organization
Contact information
Practice address
14604 GOSHAWK DR, PFLUGERVILLE, TX 78660-4478
(512) 786-0327
Mailing address
PO BOX 3317, PFLUGERVILLE, TX 78691-3317
(512) 786-0327
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
10/05/2020
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