Organization
ANGELIC HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OTTO RODAS (PRESIDENT/ADMIN/DON)
(817) 500-5541
Entity
Organization
Contact information
Practice address
10000 CRAWFORD FARMS DR, FORT WORTH, TX 76244-6630
(817) 500-5541
Mailing address
10000 CRAWFORD FARMS DR, FORT WORTH, TX 76244-6630
(817) 500-5541
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/29/2023
Last updated
11/13/2023
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