Organization
ANGEL HEART SUPPORT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARTHA MAYS (DIRECTOR)
(305) 232-5330
Entity
Organization
Contact information
Practice address
18901 SW 106TH AVE, A111, CUTLER BAY, FL 33157-7661
(305) 232-5330
(305) 359-9221
Mailing address
18901 SW 106TH AVE, A111, CUTLER BAY, FL 33157-7661
(305) 232-5330
(305) 359-9221
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
688830501
FL
253Z00000X
In Home Supportive Care Agency
6888305901
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688830596
—
FL
Enumeration date
08/20/2014
Last updated
09/22/2014
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