Organization
BEAUTIFUL ANGELS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA ANN JENKINS (OWNER/PROVIDER)
(352) 630-3056
Entity
Organization
Contact information
Practice address
2208 VIRGINIA AVENUE, EUSTIS, FL 32726
(352) 630-3056
Mailing address
2208 VIRGINIA AVENUE, EUSTIS, FL 32726
(352) 630-3056
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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