Organization
2 GOD B THY GLORY 4 HEALING ANGELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE CARTER (OWNER/ ADMINISTRATOR)
(407) 501-1095
Entity
Organization
Contact information
Practice address
5553 #1 SPRINGHILL DR, ORLANDO, FL 32808
(407) 501-1095
Mailing address
5553 #1 SPRINGHILL DR, ORLANDO, FL 32808
(407) 501-1095
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013796000
—
FL
Enumeration date
02/07/2020
Last updated
02/07/2020
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