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NPI Code Detail

MEDICARE: PRECIOUS ANGELS GROUP HOME, CORP

MEDICARE: PRECIOUS ANGELS GROUP HOME, CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number : 1952231979
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRECIOUS ANGELS GROUP HOME, CORP
Provider Business Mailing Address
First Line : 4010 LANGDRUM DR
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33543-7900
Country : US
Telephone Number : 813-352-1431
Fax Number :
Provider Business Practice Location Address
First Line : 4010 LANGDRUM DR
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33543-7900
Country : US
Telephone Number : 813-352-1431
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ANNE CUNNINGHAM-NEVEL
Credential :
Telephone Number : 813-352-1431
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/21/2026

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Directions to “PRECIOUS ANGELS GROUP HOME, CORP ” Practice Location

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