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Organization
COMPANION ANGEL'S PROFESSIONAL LIMITED LIABILITY COMPANY
Active
Organization
COMPANION ANGEL'S PROFESSIONAL LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL A GREEN (CERTIFIED NURSE ASSISTANT)
(352) 682-7537
Entity
Organization
Contact information
Practice address
157 NORMA DR, DAYTONA BEACH, FL 32114-6509
(352) 682-7537
Mailing address
157 NORMA DR, DAYTONA BEACH, FL 32114-6509
(352) 682-7537
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
NULL
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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