Organization · NPI-2

A Heart Of An Angel LLC

Adult Companion · Orlando, FL

NPI number1760052302
StatusActive
Last updated in NPPESJun 27, 2021

Details

NPI
1760052302
Entity type
Organization (NPI-2)
Legal business name
A Heart Of An Angel LLC
Organization subpart
No
Enumeration date
Jun 27, 2021
Certification date
Jun 27, 2021
Last updated
Jun 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
372600000X Adult Companion––Yes
376J00000X Homemaker––

Practice location

7060 Scruboak Ln
Orlando, FL 32818-5247

Phone 407-781-6866

Mailing address

7060 Scruboak Ln
Orlando, FL 32818-5247

Phone 407-781-6866

Authorized official

Latosha Catrice Harris-Ivy
Mrg
1407781686

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