Organization
ANGEL HEART HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAELLE MANUEL (OWNER)
(954) 470-1259
Entity
Organization
Contact information
Practice address
1015 HANCOCK BRIDGE PKWY UNIT 1, CAPE CORAL, FL 33990-1238
(239) 599-4192
(239) 800-3134
Mailing address
1015 HANCOCK BRIDGE PKWY UNIT 1, CAPE CORAL, FL 33990-1238
(239) 599-4192
(239) 800-3134
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112701900
—
FL
Enumeration date
02/19/2021
Last updated
10/07/2022
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