National Provider Identifier Database

ANGELIC HOME SERVICES INC
Hospice Care, Community Based


Contact Information

ANGELIC HOME SERVICES, INC.
3916 TALON CREST DR
LAKELAND, FL33812-4156
Phone: 863-440-2552
Fax:
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for ANGELIC HOME SERVICES, INC.

NPI Number 1730509092
Legal business name
LBN
ANGELIC HOME SERVICES, INC.
Authorized official LATIVIA JOHNSON - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/24/2014
Last updated 04/24/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • FL Medicaid: 000666160

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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