Provider Demographics
NPI:1770783573
Name:ANGELS QUALITY CARE, INC.
Entity type:Organization
Organization Name:ANGELS QUALITY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:L
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-734-5770
Mailing Address - Street 1:2254 COUNTY ROAD 179
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-7082
Mailing Address - Country:US
Mailing Address - Phone:713-734-5770
Mailing Address - Fax:713-734-6926
Practice Address - Street 1:2254 COUNTY ROAD 179
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-7082
Practice Address - Country:US
Practice Address - Phone:713-734-5770
Practice Address - Fax:713-734-6926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services