Organization
LAKESHA N. RICHARDS
Active
Other names
Miracle Angel Supportive Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAKESHA N RICHARDS (OWNER/DIRECTOR)
(407) 580-5933
Entity
Organization
Contact information
Practice address
5230 GOLD TREE CT, ORLANDO, FL 32808-1772
(407) 580-5933
(321) 445-5468
Mailing address
5230 GOLD TREE CT, ORLANDO, FL 32808-1772
(407) 580-5933
(321) 445-5468
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020694800
—
FL
Enumeration date
01/12/2018
Last updated
10/06/2021
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