Organization
ANGEL'S COMPANION SERVICE LLC
Active
Other names
Angel's Companion Service LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VONCILLA LUQITA KYLES (OWNER)
(850) 288-5264
Entity
Organization
Contact information
Practice address
1771 BRIGHTLEAF CIR, CANTONMENT, FL 32533-7880
(850) 288-5264
Mailing address
1771 BRIGHTLEAF CIR, CANTONMENT, FL 32533-7880
(850) 288-5264
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
01/29/2020
Last updated
02/20/2020
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