Organization
NURSING CARE BY ANGELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORALIE PRINCE RN (ADMINISTRATOR)
(321) 299-7687
Entity
Organization
Contact information
Practice address
8085 BABCOCK ST SE, PALM BAY, FL 32909-5910
(321) 345-4774
(321) 914-0712
Mailing address
8085 BABCOCK ST SE, PALM BAY, FL 32909-5910
(321) 345-4774
(321) 914-0712
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12241
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142640100
—
FL
Enumeration date
10/25/2012
Last updated
10/25/2012
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