Provider Demographics
NPI:1316496789
Name:JOVIAL ANGELS AT HOME CARE SERVICES
Entity type:Organization
Organization Name:JOVIAL ANGELS AT HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MURAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-680-3816
Mailing Address - Street 1:4127 W PIONEER DR
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-8101
Mailing Address - Country:US
Mailing Address - Phone:469-680-3816
Mailing Address - Fax:469-680-3817
Practice Address - Street 1:4127 W PIONEER DR
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-8101
Practice Address - Country:US
Practice Address - Phone:469-680-3816
Practice Address - Fax:469-680-3817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health