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Organization
ANGEL PEDIATRIC HEALTH CARE FACILITY INC.
Active
Organization
ANGEL PEDIATRIC HEALTH CARE FACILITY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MYRA A. WEISS BOGACZ R.N. (PRESIDENT)
(954) 332-0752
Entity
Organization
Contact information
Practice address
2589 N STATE ROAD 7, LAUDERDALE LAKES, FL 33313-2778
(954) 322-0752
Mailing address
2589 N STATE ROAD 7, LAUDERDALE LAKES, FL 33313-2778
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
60080978
FL
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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