Organization · NPI-2

Astral Angels Health Agency

Assisted Living Facility · Fort Worth, TX

NPI number1497507552

StatusActive

Last updated in NPPESApr 3, 2024

Details

NPI: 1497507552
Entity type: Organization (NPI-2)
Legal business name: Astral Angels Health Agency
Organization subpart: No
Enumeration date: Apr 3, 2024
Certification date: Apr 3, 2024
Last updated: Apr 3, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
310400000X	Assisted Living Facility	–	–	Yes
251E00000X	Home Health	–	–
251G00000X	Hospice Care, Community Based	–	–
253Z00000X	In Home Supportive Care	–	–
261QH0100X	Clinic/Center, Health Services	–	–
261QP2300X	Clinic/Center, Primary Care	–	–
261QR0400X	Clinic/Center, Rehabilitation	–	–
314000000X	Skilled Nursing Facility	–	–
343900000X	Non-emergency Medical Transport (VAN)	–	–
385H00000X	Respite Care	–	–

Practice location

1617 Park Place Ave Ste 101023
Fort Worth, TX 76110-1300

Phone 682-202-1467

Mailing address

1617 Park Place Ave Ste 101023
Fort Worth, TX 76110-1300

Authorized official

Alize Watson
Ceo
6822021467

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