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Organization

MY BLUE ANGELS THERAPY CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LILIANA BETANCOURT (OWNER)
(786) 244-1191
Entity
Organization

Contact information

Practice address
12107 SW 248TH TER, HOMESTEAD, FL 33032-5959
(786) 940-7043
Mailing address
12107 SW 248TH TER, HOMESTEAD, FL 33032-5959
(786) 244-1191

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
10/14/2025
Last updated
01/05/2026
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