Provider Demographics
NPI:1831597251
Name:AANGELS QUALITY HEALTH SERVICES
Entity type:Organization
Organization Name:AANGELS QUALITY HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.O.O.
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-396-8562
Mailing Address - Street 1:5403 W WESTBERRY DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1855
Mailing Address - Country:US
Mailing Address - Phone:210-396-8562
Mailing Address - Fax:
Practice Address - Street 1:1633 BABCOCK RD # 242
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4725
Practice Address - Country:US
Practice Address - Phone:210-396-8562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-17
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health