Organization
ANGELICA HOME CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK MARICHAL (OWNER)
(786) 318-8953
Entity
Organization
Contact information
Practice address
10910 SW 52ND DR, MIAMI, FL 33165-6905
(305) 456-4864
(305) 646-1154
Mailing address
10910 SW 52ND DR, MIAMI, FL 33165-6905
(305) 456-4864
(305) 646-1154
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13775
AHCA
FL
Enumeration date
02/17/2023
Last updated
02/17/2023
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