Organization
ANGELCARE WITH VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY L CEASOR CNA,ASSITED ADMINIST (CEO)
(850) 694-7707
Entity
Organization
Contact information
Practice address
108 WAGNER RD, BONIFAY, FL 32425-2923
(850) 694-7707
Mailing address
108 WAGNER RD, BONIFAY, FL 32425-2923
(850) 694-7707
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006402000
—
FL
05
—
265-87-4225
—
FL
Enumeration date
06/12/2018
Last updated
12/30/2024
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