Organization
ANGEL'S WINGS OF LOVE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOY BRINSON (PRESIDENT-OWNER)
(386) 631-8197
Entity
Organization
Contact information
Practice address
910 S ADELLE AVE, SUITE B, DELAND, FL 32720-7326
(386) 960-6504
Mailing address
PO BOX 3891, DELAND, FL 32721-3891
(386) 960-6504
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
003813600
FL
253Z00000X
In Home Supportive Care Agency
003813600
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003813600
—
FL
Enumeration date
08/24/2011
Last updated
08/24/2011
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