# MIRACLE ANGEL UNLIMITED LLC

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

## Provider details

- **NPI number:** 1699437814
- **Authorized official:** MS. LAKESHA RICHARDS (CEO)
- **Authorized official phone:** (407) 580-5933

## Contact information

- **Practice address:** 5230 GOLD TREE CT, ORLANDO, FL 32808-1772
- **Practice address phone:** (407) 580-5933
- **Practice address fax:** (321) 445-5468
- **Mailing address:** 5230 GOLD TREE CT, ORLANDO, FL 32808-1772
- **Mailing address phone:** (407) 580-5933
- **Mailing address fax:** (321) 445-5468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | — |
| 385H00000X | Respite Care | — | — | Yes |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | — | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | — | — |

## Other

- **Enumeration date:** 10/06/2021
- **Last updated:** 10/12/2021