Provider Demographics
NPI:1548562291
Name:ADVOCATING ANGELS THAT CARE
Entity Type:Organization
Organization Name:ADVOCATING ANGELS THAT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:WILLBURN
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:806-236-2235
Mailing Address - Street 1:9000 ORRY AVE
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79119-6341
Mailing Address - Country:US
Mailing Address - Phone:806-236-2235
Mailing Address - Fax:806-418-2273
Practice Address - Street 1:9000 ORRY AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79119-6341
Practice Address - Country:US
Practice Address - Phone:806-236-2235
Practice Address - Fax:806-418-2273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-01
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization