Miracle Angel Unlimited LLC
Respite Care in Orlando, FL. Organization (NPI-2).
NPI number1699437814
StatusActive
Last updated in NPPESOct 12, 2021
Details
- NPI
- 1699437814
- Entity type
- Organization (NPI-2)
- Legal business name
- Miracle Angel Unlimited LLC
- Organization subpart
- No
- Enumeration date
- Oct 6, 2021
- Certification date
- Oct 12, 2021
- Last updated
- Oct 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 385H00000X | Respite Care | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – | |
| 385HR2065X | Respite Care, Respite Care, Physical Disabilities, Child | – | – |
Practice location
5230 Gold Tree CtOrlando, FL 32808-1772
Phone 407-580-5933 · Fax 321-445-5468
Mailing address
5230 Gold Tree CtOrlando, FL 32808-1772
Phone 407-580-5933 · Fax 321-445-5468
Authorized official
Lakesha Richards
Ceo
4075805933
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