# ANGELS ON EARTH SENIOR SERVICE

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

## Provider details

- **NPI number:** 1316570609
- **Authorized official:** LATOYA MARTIN JACKSON (OWNER)
- **Authorized official phone:** (850) 728-3413

## Contact information

- **Practice address:** 2211 YAUPON DR, TALLAHASSEE, FL 32303-3918
- **Practice address phone:** (850) 895-3891
- **Mailing address:** 2211 YAUPON DR, TALLAHASSEE, FL 32303-3918
- **Mailing address phone:** (305) 240-2741

## Taxonomy

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

## Other

- **Enumeration date:** 02/15/2020
- **Last updated:** 08/10/2023