Provider Demographics
NPI:1508218819
Name:MARIE'S ANGELS HOME CARE, LLC
Entity Type:Organization
Organization Name:MARIE'S ANGELS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHATER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-994-1959
Mailing Address - Street 1:12007 LINDEN WALK LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-3964
Mailing Address - Country:US
Mailing Address - Phone:240-994-1959
Mailing Address - Fax:
Practice Address - Street 1:12007 LINDEN WALK LN
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-3964
Practice Address - Country:US
Practice Address - Phone:240-994-1959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health