Organization
ANGELICA HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISRAEL MWESIGWA (MANAGER)
(214) 263-2389
Entity
Organization
Contact information
Practice address
421 GLEN OAKS BLVD, DALLAS, TX 75232-2013
(972) 748-1726
(817) 585-4806
Mailing address
PO BOX 171817, ARLINGTON, TX 76003-1817
(972) 748-1726
(817) 585-4806
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/12/2013
Last updated
01/12/2013
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