Organization
NIGHTINGALE ANGELS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA WILMORE (PRESIDENT)
(954) 482-1692
Entity
Organization
Contact information
Practice address
11408 W SAMPLE RD, CORAL SPRINGS, FL 33065-7051
(954) 482-1692
Mailing address
PO BOX 16113, PLANTATION, FL 33318-6113
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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