Organization
KC'S ANGELSINC.
Active
Other names
Kc'AngelsINC.
Organization subpart
No
Provider details
NPI number
Authorized official
AVIA L DECREE (OWNER)
(850) 209-0032
Entity
Organization
Contact information
Practice address
5821 FORT RD, GREENWOOD, FL 32443-1957
(850) 209-0032
Mailing address
5821 FORT RD, GREENWOOD, FL 32443-1957
(850) 209-0032
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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