Organization
ANGELS OVER ELDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA BUTLER (OWNER)
(904) 994-2914
Entity
Organization
Contact information
Practice address
3601 KERNAN BLVD S APT 934, JACKSONVILLE, FL 32224-9690
(904) 994-2914
Mailing address
3601 KERNAN BLVD S APT 934, JACKSONVILLE, FL 32224-9690
(904) 994-2914
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105045700
—
FL
Enumeration date
02/06/2013
Last updated
09/21/2022
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