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Angels Heaven

Custodial Care Facility in El Paso, TX. Organization (NPI-2).

NPI number1366782591
StatusActive
Last updated in NPPESFeb 25, 2013

Details

NPI
1366782591
Entity type
Organization (NPI-2)
Legal business name
Angels Heaven
Organization subpart
No
Enumeration date
Feb 25, 2013
Last updated
Feb 25, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311Z00000X Custodial Care Facility––Yes

Practice location

12256 Rancho Trail Dr
El Paso, TX 79936-8600

Phone 915-859-9662

Mailing address

12256 Rancho Trail Dr
El Paso, TX 79936-8600

Authorized official

Maria Grijalva
Ceo
9158599662

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