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Organization

A HEART OF AN ANGEL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LATOSHA CATRICE HARRIS-IVY (MRG)
(140) 778-1686
Entity
Organization

Contact information

Practice address
7060 SCRUBOAK LN, ORLANDO, FL 32818-5247
(407) 781-6866
Mailing address
7060 SCRUBOAK LN, ORLANDO, FL 32818-5247
(407) 781-6866

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
376J00000X
Homemaker

Other

Enumeration date
06/27/2021
Last updated
06/27/2021
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