Organization
ANGELIC LIFE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIONNA BROCK RICHARDSON (CEO)
(713) 429-2767
Entity
Organization
Contact information
Practice address
14515 BRIARHILLS PKWY STE 208A, HOUSTON, TX 77077-1034
(713) 429-2767
(888) 433-4788
Mailing address
3536 HIGHWAY 6 # 185, SUGAR LAND, TX 77478-4401
(713) 429-2767
(888) 433-4788
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/16/2017
Last updated
04/15/2022
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