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Organization

ANGEL UNAWARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CONSTANCE DIANNE KOEHLER R.N. (PRESIDENT)
(817) 505-3867
Entity
Organization

Contact information

Practice address
6417 DRURY LN, FORT WORTH, TX 76116-4403
(817) 505-3867
Mailing address
6417 DRURY LN, FORT WORTH, TX 76116-4403
(817) 505-3867

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
12/22/2014
Last updated
12/22/2014
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