Organization
MARY'S ANGEL'S HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAQWANDA DENNIS (OWNER)
(904) 674-5075
Entity
Organization
Contact information
Practice address
5350 ARLINGTON EXPY APT 4011, JACKSONVILLE, FL 32211-6865
(904) 674-5075
Mailing address
PO BOX 350264, JACKSONVILLE, FL 32235-0264
(904) 674-5075
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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