Provider Demographics
NPI:1396989950
Name:NO MORE FALLEN ANGELS
Entity type:Organization
Organization Name:NO MORE FALLEN ANGELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICKIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:PATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-791-4746
Mailing Address - Street 1:10815 SOUTHVIEW ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-1023
Mailing Address - Country:US
Mailing Address - Phone:713-791-4746
Mailing Address - Fax:
Practice Address - Street 1:10815 SOUTHVIEW ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-1023
Practice Address - Country:US
Practice Address - Phone:713-791-4746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-27
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle
No251E00000XAgenciesHome Health