Provider Demographics
NPI:1720225345
Name:ANGELS OF RAYS
Entity Type:Organization
Organization Name:ANGELS OF RAYS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-417-4307
Mailing Address - Street 1:4225 MESA GLEN LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75233-4019
Mailing Address - Country:US
Mailing Address - Phone:214-417-4307
Mailing Address - Fax:214-330-3156
Practice Address - Street 1:4225 MESA GLEN LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75233-4019
Practice Address - Country:US
Practice Address - Phone:214-417-4307
Practice Address - Fax:214-330-3156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-20
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management