Organization
ANGEL'S SENIOR LIVING II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA MARIE CARLYLE (ADMINISTRATOR)
(386) 527-5918
Entity
Organization
Contact information
Practice address
5855 BOGGS FORD RD, PORT ORANGE, FL 32127-5870
(386) 527-5918
Mailing address
5855 BOGGS FORD RD, PORT ORANGE, FL 32127-5870
(386) 527-5918
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALF13130
FL
Other
Enumeration date
07/09/2018
Last updated
04/11/2019
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