Provider Demographics
NPI:1124312285
Name:ANGEL'S CHOICE HOME HEALTH PROFESSIONALS, LLC
Entity type:Organization
Organization Name:ANGEL'S CHOICE HOME HEALTH PROFESSIONALS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RTR, RN
Authorized Official - Phone:936-671-3813
Mailing Address - Street 1:PO BOX 1297
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75902-1297
Mailing Address - Country:US
Mailing Address - Phone:936-634-0505
Mailing Address - Fax:936-634-0515
Practice Address - Street 1:911 E LUFKIN AVE
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75901-0435
Practice Address - Country:US
Practice Address - Phone:936-634-0505
Practice Address - Fax:936-634-0515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-07
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health