Organization
ARMS OF AN ANGEL PROVIDER SERVICES LLC
Active
Other names
Arms of An Angel Provider Services, Arms of An Angel Provider Services (LLC)
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANA LISA GONZALES LPN (ADMINISTRATOR)
(210) 245-0245
Entity
Organization
Contact information
Practice address
118 BROADWAY ST STE 203, SAN ANTONIO, TX 78205-1950
(210) 245-0245
(210) 200-6063
Mailing address
118 BROADWAY ST STE 203, SAN ANTONIO, TX 78205-1950
(210) 245-0245
(210) 200-6063
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20210589389
DBA
TX
05
—
20210589389
—
TX
Enumeration date
12/23/2020
Last updated
05/03/2022
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