Provider Demographics
NPI:1174643019
Name:REGINALD L. & THELMA J BRAZZLE/ALMOST ANGELS DAY CARE
Entity Type:Organization
Organization Name:REGINALD L. & THELMA J BRAZZLE/ALMOST ANGELS DAY CARE
Other - Org Name:HELPING HANDS CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THELMA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRAZZLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-236-8660
Mailing Address - Street 1:1809 S MOBBERLY AVE
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75602-3323
Mailing Address - Country:US
Mailing Address - Phone:903-236-8660
Mailing Address - Fax:
Practice Address - Street 1:1809 S MOBBERLY AVE
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75602-3323
Practice Address - Country:US
Practice Address - Phone:903-236-8660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-31
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75239888171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty