# ANGELS TOUCH COMPANION CARE, LLC

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

## Provider details

- **NPI number:** 1790252450
- **Authorized official:** MRS. MICHELLE PATE HENDERSON (OWNER)
- **Authorized official phone:** (386) 209-7649

## Contact information

- **Practice address:** 100 COURT ST SE STE 212, LIVE OAK, FL 32064-3203
- **Practice address phone:** (386) 209-7649
- **Practice address fax:** (386) 219-0222
- **Mailing address:** 100 COURT ST SE STE 212, LIVE OAK, FL 32064-3203
- **Mailing address phone:** (386) 209-7649
- **Mailing address fax:** (386) 219-0222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | Yes |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 10/30/2018
- **Last updated:** 03/24/2025