# KALIVIA S ANGELIC HANDS

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

## Provider details

- **NPI number:** 1609618107
- **Authorized official:** KESI WILLIAMS MSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (850) 756-9785

## Contact information

- **Practice address:** 70 RICHARDSON DR, HAVANA, FL 32333-5375
- **Practice address phone:** (850) 756-9785
- **Mailing address:** 70 RICHARDSON DR, HAVANA, FL 32333-5375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251300000X | Local Education Agency (LEA) | — | NULL | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 06/07/2024
- **Last updated:** 06/07/2024