Organization
ANGELFORCE INC
Active
Other names
lorraine williams
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORRAINE STEWART WILLIAMS (PRESIDENT/OWNER)
(904) 534-6711
Entity
Organization
Contact information
Practice address
112 LANE AVE S, POST OFFICE BOX 77377, JACKSONVILLE, FL 32254-3524
(904) 534-6711
Mailing address
112 LANE AVENUE SOUTH, JACKSONVILLE, FL 32254-3524
(904) 534-6711
(904) 768-0237
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
675103296
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
675103296
MEDWAIVER
FL
05
—
675103296
—
FL
Enumeration date
03/16/2011
Last updated
03/16/2011
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