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Organization
ANGEL'S COMPANION SERVICE LLC
Active
Organization
ANGEL'S COMPANION SERVICE LLC
Active
Other names
Angel's Companion Service LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VONCILLA LUQITA KYLES (OWNER)
(850) 288-5264
Entity
Organization
Contact information
Practice address
1771 BRIGHTLEAF CIR, CANTONMENT, FL 32533-7880
(850) 288-5264
Mailing address
1771 BRIGHTLEAF CIR, CANTONMENT, FL 32533-7880
(850) 288-5264
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
Other
Enumeration date
01/29/2020
Last updated
02/20/2020
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