Organization
ASTRAL ANGELS HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIZE WATSON (CEO)
(682) 202-1467
Entity
Organization
Contact information
Practice address
1617 PARK PLACE AVE STE 101023, FORT WORTH, TX 76110-1300
(682) 202-1467
Mailing address
1617 PARK PLACE AVE STE 101023, FORT WORTH, TX 76110-1300
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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