Organization
ANGELO HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA DIANE ROSS RN (ADMINISTRATOR)
(325) 653-4047
Entity
Organization
Contact information
Practice address
5028-A KNICKERBOCKER ROAD, SAN ANGELO, TX 76904
(325) 653-4047
(325) 653-4449
Mailing address
PO BOX 61146, SAN ANGELO, TX 76906-1146
(325) 653-4047
(325) 653-4449
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010644
TX
Other
Enumeration date
03/20/2007
Last updated
09/01/2009
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