# ANGEL'S ADULT FAMILY CARE HOME

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

## Provider details

- **NPI number:** 1316373103
- **Authorized official:** MS. JAVONNE B CHEN (DIRECTOR)
- **Authorized official phone:** (585) 747-2203

## Contact information

- **Practice address:** 3204 MONTAGUE AVE, SPRING HILL, FL 34608-4155
- **Practice address phone:** (585) 747-2203
- **Practice address fax:** (352) 684-8677
- **Mailing address:** 3204 MONTAGUE AVE, SPRING HILL, FL 34608-4155
- **Mailing address phone:** (585) 747-2203
- **Mailing address fax:** (352) 684-8677

## Taxonomy

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

## Other

- **Enumeration date:** 09/24/2013
- **Last updated:** 09/24/2013
