# A HEART OF AN ANGEL LLC

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

## Provider details

- **NPI number:** 1760052302
- **Authorized official:** MRS. LATOSHA CATRICE HARRIS-IVY (MRG)
- **Authorized official phone:** (140) 778-1686

## Contact information

- **Practice address:** 7060 SCRUBOAK LN, ORLANDO, FL 32818-5247
- **Practice address phone:** (407) 781-6866
- **Mailing address:** 7060 SCRUBOAK LN, ORLANDO, FL 32818-5247
- **Mailing address phone:** (407) 781-6866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372600000X | Adult Companion | — | NULL | Yes |
| 372600000X | Adult Companion | — | — | Yes |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |

## Other

- **Enumeration date:** 06/27/2021
- **Last updated:** 06/27/2021
