Organization · NPI-2

Angels Haven, LLC

Assisted Living Facility · Fort Worth, TX

NPI number1043505175
StatusActive
Last updated in NPPESJun 16, 2011

Details

NPI
1043505175
Entity type
Organization (NPI-2)
Legal business name
Angels Haven, LLC
Organization subpart
No
Enumeration date
Jun 16, 2011
Last updated
Jun 16, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility132136TXYes

Practice location

2724 Calico Rock Dr
Fort Worth, TX 76131-2034

Phone 817-262-0333 · Fax 817-386-2929

Mailing address

4956 Obrien Way
Fort Worth, TX 76244-6142

Phone 817-262-0333 · Fax 817-386-2929

Authorized official

Trang T Carr
Managing Member / President
8172620333

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