Organization
ANGELS AND GRACE CONSULTING CORPORATION
Active
Other names
ANGELS AND GRACE CONSULTING CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LORAIN CNA/MAP,CCMC (CASE MANAGER)
(352) 461-3920
Entity
Organization
Contact information
Practice address
1609 SW 17TH ST, OCALA, FL 34471-1224
(352) 461-3920
Mailing address
2518 BURNSED BLVD, THE VILLAGES, FL 32163-2704
(352) 461-3920
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
Primary
—
—
282J00000X
Religious Nonmedical Health Care Institution
—
—
302F00000X
Exclusive Provider Organization
—
—
302R00000X
Health Maintenance Organization
—
—
305R00000X
Preferred Provider Organization
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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