# ANGEL'S LEGACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ANGEL'S LEGACY, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104466788
- **Legal business name:** ANGEL'S LEGACY, LLC
- **Authorized official:** MR. ALEX REY CARDONA (PRESIDENT/CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (407) 310-1707

## Contact information

- **Practice address:** 777 N ORANGE AVE APT 716, ORLANDO, FL 32801-1188
- **Practice address phone:** (407) 310-1707
- **Practice address fax:** (877) 538-5599
- **Mailing address:** 777 N ORANGE AVE APT 716, ORLANDO, FL 32801-1188
- **Mailing address phone:** (407) 310-1707
- **Mailing address fax:** (877) 538-5599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/10/2020
- **Last updated:** 10/11/2020