Angels On Earth Assisted Living Home, LLC
Assisted Living Facility in Tallahassee, FL. Organization (NPI-2).
NPI number1457198558
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1457198558
- Entity type
- Organization (NPI-2)
- Legal business name
- Angels On Earth Assisted Living Home, LLC
- Organization subpart
- No
- Enumeration date
- Jul 15, 2024
- Certification date
- Jul 15, 2024
- Last updated
- Jul 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
2211 Yaupon DrTallahassee, FL 32303-3918
Phone 850-895-3891 · Fax 800-918-5001
Mailing address
2211 Yaupon DrTallahassee, FL 32303-3918
Phone 850-895-3891 · Fax 800-918-5001
Authorized official
Latoya Jackson
Owner
3052402741
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