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NPI Code Detail

MEDICARE: ANGELS FROM HEAVEN HOME CARE OF FL, LLC

MEDICARE: ANGELS FROM HEAVEN HOME CARE OF FL, 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
1251J00000XNursing Care Agency
2253Z00000XIn Home Supportive Care Agency
3251E00000XHome Health Agency

General Provider Information

NPI Number : 1912524133
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGELS FROM HEAVEN HOME CARE OF FL, LLC
Provider Business Mailing Address
First Line : 3232 KAYLA LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28215-2713
Country : US
Telephone Number : 754-757-8288
Fax Number : 888-323-4063
Provider Business Practice Location Address
First Line : 6750 N ANDREWS AVE STE 200
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33309-2180
Country : US
Telephone Number : 754-757-8288
Fax Number : 888-323-4063
Authorized Official
Title or Position : OWNER
Name : KATHERINE CUTLER
Credential :
Telephone Number : 754-757-8288
Provider Enumeration Date : 07/03/2020
Last Update Date : 07/03/2020

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Directions to “ANGELS FROM HEAVEN HOME CARE OF FL, LLC ” Practice Location

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