Provider Demographics
NPI:1730653858
Name:ANGEL-PALMS HOME HEALTH CARE
Entity Type:Organization
Organization Name:ANGEL-PALMS HOME HEALTH CARE
Other - Org Name:ANGEL-PALMS HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:COLLINS
Authorized Official - Middle Name:
Authorized Official - Last Name:AFANWI
Authorized Official - Suffix:
Authorized Official - Credentials:COO
Authorized Official - Phone:904-865-7777
Mailing Address - Street 1:5429 POINTE VISTA CIR APT 104
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-8422
Mailing Address - Country:US
Mailing Address - Phone:407-484-0952
Mailing Address - Fax:
Practice Address - Street 1:4600 SW 34TH ST STE 1
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-6450
Practice Address - Country:US
Practice Address - Phone:407-300-9955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-11
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health