Organization
ANGELS UNITED HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRIA NICOLE EDMONDS (OWNER/ADMINISTRATOR)
(469) 831-1777
Entity
Organization
Contact information
Practice address
2417 ANTON DR, FORNEY, TX 75126-2440
(469) 831-1777
Mailing address
PO BOX 1952, FORNEY, TX 75126-1952
(469) 831-1777
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
2255A2300X
Athletic Trainer
—
—
2279H0200X
Home Health Registered Respiratory Therapist
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02
—
TX
Enumeration date
07/22/2020
Last updated
07/22/2020
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