# ANGELIKA'S COUNTRYSIDE ADULT CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275954497
- **Authorized official:** ANGELIKA E GIECK (OWNER)
- **Authorized official phone:** (352) 610-0121

## Contact information

- **Practice address:** 12102 CROMWELL WAY, SPRING HILL, FL 34609-9640
- **Practice address phone:** (352) 610-0121
- **Mailing address:** 12102 CROMWELL WAY, SPRING HILL, FL 34609-9640
- **Mailing address phone:** (352) 610-0121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6906571 | FL | Yes |

## Other

- **Enumeration date:** 12/16/2013
- **Last updated:** 12/16/2013