Provider Demographics
NPI:1841599214
Name:HEALING ANGEL HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:HEALING ANGEL HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN,ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:OBISELU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-220-0704
Mailing Address - Street 1:15227 SHELLWOOD LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6465
Mailing Address - Country:US
Mailing Address - Phone:862-220-0704
Mailing Address - Fax:972-540-1779
Practice Address - Street 1:15227 SHELLWOOD LN
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-6465
Practice Address - Country:US
Practice Address - Phone:862-220-0704
Practice Address - Fax:972-540-1779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX745554251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health