Organization
ANGELS WITH A DIVINE PURPOSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET J GIBSON ALF/NHA (ADMINISTRATOR)
(850) 510-3080
Entity
Organization
Contact information
Practice address
240 SE STEPHENS AVE, MADISON, FL 32340-2656
(850) 510-3080
Mailing address
240 SE STEPHENS AVE, MADISON, FL 32340-2656
(850) 510-3080
(850) 973-2066
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
07/08/2016
Last updated
03/30/2020
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