# ANGEL HOUSE OF MARION COUNTY, INC.

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

## Provider details

- **NPI number:** 1619267580
- **Authorized official:** MRS. DAISY PINDER R.N. (REGISTERED NURSE)
- **Authorized official phone:** (352) 369-0068

## Contact information

- **Practice address:** 2109 SW 7TH ST, OCALA, FL 34471-1941
- **Practice address phone:** (352) 369-0068
- **Practice address fax:** (352) 369-0088
- **Mailing address:** 2109 SW 7TH ST, OCALA, FL 34471-1941
- **Mailing address phone:** (352) 369-0068
- **Mailing address fax:** (352) 369-0088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 691111196 | FL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 691111195 | FL | Yes |

## Other

- **Enumeration date:** 04/13/2011
- **Last updated:** 04/13/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 691111196 | — | FL |