Provider Demographics
NPI:1528234176
Name:ANGELS COURT HEALTHCARE CORPORATION
Entity type:Organization
Organization Name:ANGELS COURT HEALTHCARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:TRENT-ADESHEWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-432-4394
Mailing Address - Street 1:2906 FOREST POINT DR
Mailing Address - Street 2:UNIT 1408
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-3059
Mailing Address - Country:US
Mailing Address - Phone:214-432-4394
Mailing Address - Fax:281-398-5482
Practice Address - Street 1:2906 FOREST POINT DR
Practice Address - Street 2:UNIT 1408
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-3059
Practice Address - Country:US
Practice Address - Phone:214-432-4394
Practice Address - Fax:281-398-5482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health