Angelic Life Care LLC

NPI #1962915645 in Houston, Texas

Provider Information

NPI Number: 1962915645
Entity Type: Organization
Organization Name: Angelic Life Care LLC
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Nov 16, 2017
Last Updated: Apr 15, 2022

Practice Location

Address: 14515 BRIARHILLS PKWY STE 208A
City: Houston
State: Texas
ZIP Code: 77077-1034
Phone: (713) 429-2767

Authorized Official

Name: DIONNA BROCK RICHARDSON
Title: CEO
Phone: (713) 429-2767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child	385HR2060X
Case Manager/Care Coordinator	171M00000X	Primary

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