Organization
HOUSE OF ANGEL'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RETA VELISSA SANDERS (PRAGRAM MANGER)
(903) 917-2458
Entity
Organization
Contact information
Practice address
2508 BALSAM ST, LONGVIEW, TX 75605-2312
(903) 917-2458
Mailing address
2508 BALSAM ST, LONGVIEW, TX 75605-2312
(903) 917-2458
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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