Provider Demographics
NPI:1134565229
Name:PRECIOUS ANGELS GROUP HOMES
Entity type:Organization
Organization Name:PRECIOUS ANGELS GROUP HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROGRAM MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:RONNET DONYELL
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-893-3288
Mailing Address - Street 1:10919 FONDREN RD APT 2001
Mailing Address - Street 2:APT 2001
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-5533
Mailing Address - Country:US
Mailing Address - Phone:832-893-3288
Mailing Address - Fax:
Practice Address - Street 1:3706 DAWSON LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77051-3221
Practice Address - Country:US
Practice Address - Phone:832-893-3288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty