Angel'S Companion Service LLC
In Home Supportive Care in Cantonment, FL. Organization (NPI-2).
NPI number1871124792
StatusActive
Last updated in NPPESFeb 20, 2020
Details
- NPI
- 1871124792
- Entity type
- Organization (NPI-2)
- Legal business name
- Angel'S Companion Service LLC
- Organization subpart
- No
- Enumeration date
- Jan 29, 2020
- Certification date
- Feb 20, 2020
- Last updated
- Feb 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 376J00000X | Homemaker | – | – |
Other names
- Angel'S Companion Service LLC (Doing Business As)
Practice location
1771 Brightleaf CirCantonment, FL 32533-7880
Phone 850-288-5264
Mailing address
1771 Brightleaf CirCantonment, FL 32533-7880
Phone 850-288-5264
Authorized official
Voncilla Luqita Kyles
Owner
8502885264
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