Provider Demographics
NPI:1700497740
Name:ANGEL'S TOUCH
Entity Type:Organization
Organization Name:ANGEL'S TOUCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CLIFTON
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-412-6560
Mailing Address - Street 1:11207 COCOA BEACH DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-2949
Mailing Address - Country:US
Mailing Address - Phone:813-412-6560
Mailing Address - Fax:831-850-6633
Practice Address - Street 1:11216 MCMULLEN RD
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33569-6310
Practice Address - Country:US
Practice Address - Phone:813-416-6810
Practice Address - Fax:831-850-6633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility