Organization
ANGELIC SERVICES OF NORTHWEST FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREAL GRANT (OWNER)
(850) 557-8486
Entity
Organization
Contact information
Practice address
1824 ACE LN, MARIANNA, FL 32448-7433
(850) 557-8486
Mailing address
1824 ACE LN, MARIANNA, FL 32448-7433
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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