Organization
ANGELS TCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIFTON RAY SCOTT (VICE PRESIDENT)
(813) 412-6560
Entity
Organization
Contact information
Practice address
3115 S MILLER RD, VALRICO, FL 33596-5716
(813) 412-6560
(831) 850-6633
Mailing address
11207 COCOA BEACH DR, RIVERVIEW, FL 33569-2949
(813) 412-6560
(831) 850-6633
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12347
FL
Other
Enumeration date
02/10/2015
Last updated
02/11/2015
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