# ANGEL OF LIFE SERVICES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1972121689
- **Authorized official:** MR. EUGENE PORTER JR. (OFFICER)
- **Authorized official phone:** (352) 553-9870

## Contact information

- **Practice address:** 15576 SW 46TH CIR, OCALA, FL 34473-3181
- **Practice address phone:** (352) 553-9870
- **Mailing address:** 15576 SW 46TH CIR, OCALA, FL 34473-3181
- **Mailing address phone:** (352) 553-9870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 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