House of Angel's

NPI #1720454929 in Longview, Texas

Provider Information

NPI Number: 1720454929
Entity Type: Organization
Organization Name: House of Angel's
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 11, 2015
Last Updated: Aug 11, 2015

Practice Location

Address: 2508 BALSAM ST
City: Longview
State: Texas
ZIP Code: 75605-2312
Phone: (903) 917-2458

Authorized Official

Name: RETA VELISSA SANDERS
Title: PRAGRAM MANGER
Phone: (903) 917-2458

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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