Organization Name: | RESCUE ANGELS ADULT CARE |
NPI Number: | 1053637231 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA DAVIS SMITH (DIRECTOR/PROGRAM MGR.) |
Mailing Address: | 2808 Mount Pisgah Rd Kilgore |
State: | TX US |
Postal Code: | 756628356 |
Phone Number: | 8178217259 |
Fax Number: | 9039810450 |
NPI Enumeration Date: | 04/14/2010 |
NPI Last Update Date: | 04/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |