Angelo Healthcare Services, Inc.

Organization Active NPI Home Health Agency · San Angelo, TX

NPI 1720103526 · NPPES record last updated Sep 1, 2009

Key facts

NPI
1720103526
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
010644 (TX)
Legal business name
ANGELO HEALTHCARE SERVICES, INC.
Practice address
5028-A Knickerbocker Road
San Angelo, TX 76904
Phone
(325) 653-4047
Fax
(325) 653-4449
NPI assigned
Mar 20, 2007
Organization subpart
No

Authorized official

Name
Roberta Diane Ross, RN
Title
Administrator
Phone
(325) 653-4047

National Provider Directory

Locations

5028 Knickerbocker Rd
#A
San Angelo, TX 76904
Phone (325) 653-4047

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010644 TX Yes

Addresses

Primary practice location

5028-A Knickerbocker Road
San Angelo, TX 76904

Mailing address

PO Box 61146
San Angelo, TX 76906-1146
Phone (325) 653-4047

Other providers in San Angelo, TX

All providers in San Angelo, TX · Home Health Agency in Texas

Sources for this page

Verify at the official NPI Registry.