Organization
ANGEL MARY C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE FERNANDEZ (DIRECTOR)
(954) 248-7222
Entity
Organization
Contact information
Practice address
5500 SW 39TH ST, DAVIE, FL 33314-3704
(954) 248-7222
Mailing address
5500 SW 39TH ST, DAVIE, FL 33314-3704
(954) 248-7222
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
11/14/2025
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