| NPI | 1225899412 |
|---|---|
| Former Legal Business Name | DOMINQUE ANGELS HOME CARE |
| Entity Type | Organization |
| Authorized Contact | ANTIONETTE LABARBRA RAVENELL CEO/Manager 817-500-3873 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 172A00000X Driver |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |