Organization
ANGELS QUALITY CARE 11, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE CHATMON (PROGRAM DIRECTOR)
(214) 498-7069
Entity
Organization
Contact information
Practice address
831 MIDDLE RUN CT, DUNCANVILLE, TX 75137-2026
(214) 498-7069
(972) 296-0979
Mailing address
PO BOX 382089, DUNCANVILLE, TX 75138-2026
(214) 498-7069
(972) 296-0979
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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