Organization
ANGELS HOME HEALTH CARE GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YELENIS GRAVERAN OTANO (OWNER)
(813) 531-4923
Entity
Organization
Contact information
Practice address
4040 W WATERS AVE STE 202, TAMPA, FL 33614-8153
(813) 999-1020
(813) 999-1156
Mailing address
4040 W WATERS AVE STE 202, TAMPA, FL 33614-8153
(813) 999-1020
(813) 999-1156
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
01/10/2026
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