Organization
MIRACLE ANGEL UNLIMITED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAKESHA RICHARDS (CEO)
(407) 580-5933
Entity
Organization
Contact information
Practice address
5230 GOLD TREE CT, ORLANDO, FL 32808-1772
(407) 580-5933
(321) 445-5468
Mailing address
5230 GOLD TREE CT, ORLANDO, FL 32808-1772
(407) 580-5933
(321) 445-5468
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
385H00000X
Respite Care
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
10/06/2021
Last updated
10/12/2021
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