Organization
ANGELIC HOME SERVICES, INC.
Active
Organization
ANGELIC HOME SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATIVIA DEANNA JOHNSON (OWNER)
(863) 440-2662
Entity
Organization
Contact information
Practice address
3916 TALON CREST DR, LAKELAND, FL 33812-4156
(863) 440-2552
Mailing address
3916 TALON CREST DR, LAKELAND, FL 33812-4156
(863) 440-2552
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000666160
—
FL
Enumeration date
04/24/2014
Last updated
04/24/2014
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