Organization
ANGELS TOUCH COMPANION CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE PATE HENDERSON (OWNER)
(386) 209-7649
Entity
Organization
Contact information
Practice address
100 COURT ST SE STE 212, LIVE OAK, FL 32064-3203
(386) 209-7649
(386) 219-0222
Mailing address
100 COURT ST SE STE 212, LIVE OAK, FL 32064-3203
(386) 209-7649
(386) 219-0222
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
10/30/2018
Last updated
03/24/2025
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