Organization
ANGELCHILD HOMECARE CORP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARI LU BURDEN (OWNER)
(727) 657-5803
Entity
Organization
Contact information
Practice address
1641 SUNSET POINT RD, CLEARWATER, FL 33755-1657
(727) 657-5803
Mailing address
1641 SUNSET POINT RD, CLEARWATER, FL 33755-1657
(727) 657-5803
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007271900
—
FL
Enumeration date
10/21/2019
Last updated
10/21/2019
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