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General NPI Number Information
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NPI Number | 1336579671
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Entity Type | Organization
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Legal Business Name | ANGELIC COMPANION SERVICES, LLC
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Dates
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Enumeration Date | 11/23/2013
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 498 PALM SPRINGS DR STE 100
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-7849
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Country | US
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Telephone | 407-747-3073
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Fax | 407-512-4524
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Provider Business Mailing Address
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Address Line | 12472 LAKE UNDERHILL RD # 323
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City | ORLANDO
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State | FL
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Zip | 32828-7144
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Country | US
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Telephone | 407-747-3073
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Fax | 407-512-4524
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Authorized Official
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Title or Position | OWNER
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Name | MS. ANGELA M JONES
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Credential |
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Telephone | 407-747-3073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | FL
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