# ANGELS ON ASSIGNMENT

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

## Provider details

- **NPI number:** 1619349347
- **Authorized official:** MRS. DERYLENE G. PROCTOR M.S. (OWNER)
- **Authorized official phone:** (850) 544-3045

## Contact information

- **Practice address:** 5773 N SALT RD, MONTICELLO, FL 32344-5173
- **Practice address phone:** (850) 544-3045
- **Mailing address:** 5773 N SALT RD, MONTICELLO, FL 32344-5173
- **Mailing address phone:** (850) 544-3045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 347C00000X | Private Vehicle | P623-167-59-760-0 | FL | — |

## Other

- **Enumeration date:** 10/21/2015
- **Last updated:** 10/21/2015