# ANGEL'S COMPANION SERVICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Angel's Companion Service LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871124792
- **Authorized official:** MRS. VONCILLA LUQITA KYLES (OWNER)
- **Authorized official phone:** (850) 288-5264

## Contact information

- **Practice address:** 1771 BRIGHTLEAF CIR, CANTONMENT, FL 32533-7880
- **Practice address phone:** (850) 288-5264
- **Mailing address:** 1771 BRIGHTLEAF CIR, CANTONMENT, FL 32533-7880
- **Mailing address phone:** (850) 288-5264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |

## Other

- **Enumeration date:** 01/29/2020
- **Last updated:** 02/20/2020