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Organization

GOLDEN ANGEL CARING HEARTS

Active
Other names
QUANTARA CLARKE
Organization subpart
No

Provider details

NPI number
Authorized official
MISS QUANTARA L CLARKE (HOMEMAKER & COMPANION)
(850) 627-7533
Entity
Organization

Contact information

Practice address
842 RANCH RD, QUINCY, FL 32351-5265
(850) 627-7533
Mailing address
PO BOX 1230, QUINCY, FL 32353-1230
(850) 627-7533

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251EOOOOOX
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6884446678
FL
Enumeration date
12/04/2006
Last updated
08/22/2020
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