Organization · NPI-2
Angel Of Life Services INC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Ocala, FL
NPI number1972121689
StatusActive
Last updated in NPPESJul 9, 2020
Details
- NPI
- 1972121689
- Entity type
- Organization (NPI-2)
- Legal business name
- Angel Of Life Services INC
- Organization subpart
- No
- Enumeration date
- Jul 9, 2020
- Certification date
- Jul 9, 2020
- Last updated
- Jul 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 372600000X | Adult Companion | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 320700000X | Residential Treatment Facility, Physical Disabilities | – | – |
Practice location
15576 Sw 46th CirOcala, FL 34473-3181
Phone 352-553-9870
Mailing address
15576 Sw 46th CirOcala, FL 34473-3181
Phone 352-553-9870
Authorized official
Eugene Porter
Officer
3525539870
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