# KC'S ANGELSINC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kc'AngelsINC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083387864
- **Authorized official:** AVIA L DECREE (OWNER)
- **Authorized official phone:** (850) 209-0032

## Contact information

- **Practice address:** 5821 FORT RD, GREENWOOD, FL 32443-1957
- **Practice address phone:** (850) 209-0032
- **Mailing address:** 5821 FORT RD, GREENWOOD, FL 32443-1957
- **Mailing address phone:** (850) 209-0032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/28/2021
- **Last updated:** 07/28/2021