Organization
ANGELS BY YOUR SIDE, LLC
Active
Other names
Angels By Your Side, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHANDASIRI THUMBAGE (OWNER)
(815) 451-2865
Entity
Organization
Contact information
Practice address
2630 CHAUCER ST., CLEARWATER, FL 33765
(815) 451-2865
Mailing address
2360 CHAUCER ST, CLEARWATER, FL 33765-4203
(815) 451-2865
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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