Organization
ANGELS ON EARTH SENIOR SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA MARTIN JACKSON (OWNER)
(850) 728-3413
Entity
Organization
Contact information
Practice address
2211 YAUPON DR, TALLAHASSEE, FL 32303-3918
(850) 895-3891
Mailing address
2211 YAUPON DR, TALLAHASSEE, FL 32303-3918
(305) 240-2741
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
02/15/2020
Last updated
08/10/2023
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