Organization
EARTH ANGELS HEALTH & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEGA K LONG MS (OWNER/CEO)
(904) 729-5242
Entity
Organization
Contact information
Practice address
10177 LANCASHIRE DR, JACKSONVILLE, FL 32219-4367
(904) 729-5242
(904) 765-3155
Mailing address
PO BOX 28585, JACKSONVILLE, FL 32226-8585
(904) 729-5242
(904) 765-3155
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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