Organization
ANGELES DEL CIELO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM MEDIA (MANAGING)
(915) 849-8978
Entity
Organization
Contact information
Practice address
11825 TRACY AUSTIN LN, EL PASO, TX 79936-6148
(915) 849-8978
Mailing address
11825 TRACY AUSTIN LN, EL PASO, TX 79936-6148
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
302F00000X
Exclusive Provider Organization
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
311Z00000X
Custodial Care Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
315D00000X
Inpatient Hospice
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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