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Organization
ANGELS BY YOUR SIDE, LLC
Active
Organization
ANGELS BY YOUR SIDE, LLC
Active
Other names
Angels By Your Side, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHANDASIRI THUMBAGE (OWNER)
(815) 451-2865
Entity
Organization
Contact information
Practice address
2630 CHAUCER ST., CLEARWATER, FL 33765
(815) 451-2865
Mailing address
2360 CHAUCER ST, CLEARWATER, FL 33765-4203
(815) 451-2865
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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