Organization
ANGLIN PREMIER CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYE ANGLIN RN (OWNER)
(863) 604-4591
Entity
Organization
Contact information
Practice address
995 BATES RD, HAINES CITY, FL 33844-6412
(863) 604-4591
Mailing address
995 BATES RD, HAINES CITY, FL 33844-6412
(863) 604-4591
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021272600
—
FL
05
—
024849700
—
FL
Enumeration date
02/11/2019
Last updated
03/02/2022
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