Organization
ANGELICAL HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BLANCA LAMAR GONZALEZ R.N./CFO/OWNER (CFO/OWNER)
(956) 581-1251
Entity
Organization
Contact information
Practice address
504 LAKE POINT ST, LA JOYA, TX 78560-4021
(956) 581-1251
(956) 581-4859
Mailing address
504 LAKE POINT ST, LA JOYA, TX 78560-4021
(956) 581-1251
(956) 581-4859
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010100
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
677881
MEDICARE PROVIDER NUMBER
TX
Enumeration date
05/09/2006
Last updated
05/03/2021
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