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NPI Code Detail

MEDICARE: ANGELS ON EARTH HELPING HANDS LLC

MEDICARE: ANGELS ON EARTH HELPING HANDS LLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1417759051
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGELS ON EARTH HELPING HANDS LLC
Provider Business Mailing Address
First Line : 5218 JAMMES RD STE D3
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-7700
Country : US
Telephone Number : 904-345-1323
Fax Number :
Provider Business Practice Location Address
First Line : 5218 JAMMES RD STE D3
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-7700
Country : US
Telephone Number : 904-655-3786
Fax Number :
Authorized Official
Title or Position : HOME HEALTH
Name : MS. TONYA N HYATT
Credential : HHA
Telephone Number : 904-345-1323
Provider Enumeration Date : 03/25/2025
Last Update Date : 03/25/2025

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Directions to “ANGELS ON EARTH HELPING HANDS LLC ” Practice Location

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