Organization
ANGELS OF HOPE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL ANGEL MARQUEZ (OWNER)
(407) 692-7651
Entity
Organization
Contact information
Practice address
619 ROLLINS DR, DAVENPORT, FL 33837-7218
(407) 692-7651
Mailing address
619 ROLLINS DR, DAVENPORT, FL 33837-7218
(863) 438-6331
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M622541861230
—
FL
Enumeration date
06/03/2019
Last updated
06/03/2019
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