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NPI Code Detail

MEDICARE: ANGELS ADULT PLUS SERVICES

MEDICARE: ANGELS ADULT PLUS SERVICES
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
1372600000XAdult Companion233906FL
2376J00000XHomemaker233906FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851786131
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGELS ADULT PLUS SERVICES
Provider Business Mailing Address
First Line : 1502 SW CURRY ST
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34983-3010
Country : US
Telephone Number : 772-708-8430
Fax Number : 917-534-6006
Provider Business Practice Location Address
First Line : 1502 SW CURRY ST
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34983-3010
Country : US
Telephone Number : 772-708-8430
Fax Number : 917-534-6006
Authorized Official
Title or Position : CO OWNER
Name : LYDIA ROMERO
Credential :
Telephone Number : 772-708-8430
Provider Enumeration Date : 04/02/2015
Last Update Date : 04/02/2015

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Directions to “ANGELS ADULT PLUS SERVICES ” Practice Location

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