Provider Demographics
NPI:1073188157
Name:ANGEL 3 SISTERS HOME HEALTH CARE, CORP.
Entity type:Organization
Organization Name:ANGEL 3 SISTERS HOME HEALTH CARE, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KU
Authorized Official - Middle Name:
Authorized Official - Last Name:XIONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:539-867-4910
Mailing Address - Street 1:1801 S GARNETT RD STE E
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74128-1813
Mailing Address - Country:US
Mailing Address - Phone:539-867-4910
Mailing Address - Fax:539-867-4943
Practice Address - Street 1:1801 S GARNETT RD STE E
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74128-1813
Practice Address - Country:US
Practice Address - Phone:539-867-4910
Practice Address - Fax:539-867-4943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health