Organization
MY PRECIOUS ANGEL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NELSON HERNANDEZ (CEO)
(305) 203-4936
Entity
Organization
Contact information
Practice address
8600 NW SOUTH RIVER DR STE 113, MEDLEY, FL 33166-7445
(786) 556-5049
Mailing address
8600 NW SOUTH RIVER DR STE 113, MEDLEY, FL 33166-7445
(786) 556-5049
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
09/09/2021
Last updated
06/28/2022
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