Organization
EVANGELIN'S AFCH, LLC
Active
Other names
Evangelin Guino-o Comighod Afch
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EVANGELIN GUINO-O COMIGHOD (OWNER/PRESIDENT)
(727) 422-8793
Entity
Organization
Contact information
Practice address
1529 CLARK ST, CLEARWATER, FL 33755-3510
(727) 422-8793
Mailing address
1529 CLARK ST, CLEARWATER, FL 33755-3510
(727) 422-8793
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10000128200
—
FL
Enumeration date
04/18/2013
Last updated
05/23/2013
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