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Organization

HARRIS NOURISHING ANGELS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHERIE NICOLE DONALD LPN (OWNER/ADMINISTRATOR)
(727) 642-6922
Entity
Organization

Contact information

Practice address
2314 30TH ST S, SAINT PETERSBURG, FL 33712-3340
(727) 642-6922
Mailing address
2314 30TH ST S, SAINT PETERSBURG, FL 33712-3340
(727) 642-6922

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
120170300
FL
01
239939
AGENCY FOR HEALTHCARE ADMINISTRATION
FL
Enumeration date
03/21/2024
Last updated
09/11/2025
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