45D1079044 CLIA NUMBER - ANGEL HOME HEALTH CARE, LLC

Laboratory Demographics

CLIA Number: 45D1079044

Facility Name: ANGEL HOME HEALTH CARE, LLC

Facility Address:
4227 SHADY VILLAGE CT
MISSOURI CITY, TX
ZIP 77459
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Facility Phone Number: 281 969-7043

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1861668014

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D1079044
LAB Type	Home Health Agency
Facility Name	ANGEL HOME HEALTH CARE, LLC
Street	4227 SHADY VILLAGE CT
City	MISSOURI CITY
State	TX
ZIP	77459
Phone	281 969-7043
CertificateType	4
CertificateEffectiveDate	1/24/2024
CertificateExpirationDate	1/23/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024