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Organization
ANGEL OF LIFE SERVICES INC
Active
Organization
ANGEL OF LIFE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE PORTER JR. (OFFICER)
(352) 553-9870
Entity
Organization
Contact information
Practice address
15576 SW 46TH CIR, OCALA, FL 34473-3181
(352) 553-9870
Mailing address
15576 SW 46TH CIR, OCALA, FL 34473-3181
(352) 553-9870
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
320700000X
Physical Disabilities Residential Treatment Facility
—
NULL
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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