Organization
ANGELS TCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIFTON SCOTT (VICE PRESIDENT)
(813) 412-6560
Entity
Organization
Contact information
Practice address
11207 COCOA BEACH DR, RIVERVIEW, FL 33569
(813) 412-6560
Mailing address
504 APACHE TRL, BRANDON, FL 33511-8048
(813) 412-6560
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12754
FL
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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