Healthcare Provider Details

I. General information

NPI: 1558168542
Provider Name (Legal Business Name): VERO ANGELS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 7TH AVE
VERO BEACH FL
32960-5702
US

IV. Provider business mailing address

1130 7TH AVE
VERO BEACH FL
32960-5702
US

V. Phone/Fax

Practice location:
  • Phone: 772-584-3820
  • Fax: 772-610-3242
Mailing address:
  • Phone: 772-584-3820
  • Fax: 772-610-3820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: ROXANNE G. KRYWACZ
Title or Position: FINANCIAL OFFICER
Credential:
Phone: 772-584-3820