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Organization
COMPASSIONATE ANGELS
Active
Organization
COMPASSIONATE ANGELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANAE KELLY BELLAMY (OWNER)
(863) 242-8769
Entity
Organization
Contact information
Practice address
122 E MAIN ST # 347, LAKELAND, FL 33801-4655
(863) 242-8769
Mailing address
122 E MAIN ST # 347, LAKELAND, FL 33801-4655
(863) 242-8769
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
310500000X
Mental Illness Intermediate Care Facility
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
11/16/2023
Last updated
11/20/2023
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