| Angels For Kids On Call 24/7 Inc. | |
|
19 N 6th St Ste 19a Haines City FL 33844-4205 | |
| (863) 216-6595 | |
| Not Available |
| Full Name | Angels For Kids On Call 24/7 Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 19 N 6th St Ste 19a, Haines City, Florida |
| Authorized Official Name and Position | John Valencia (CEO) |
| Authorized Official Contact | 4077307983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angels For Kids On Call 24/7 Inc. 1071 Port Malabar Blvd Ne Ste 106 Palm Bay FL 32905-5161 Ph: (407) 730-7983 | Angels For Kids On Call 24/7 Inc. 19 N 6th St Ste 19a Haines City FL 33844-4205 Ph: (863) 216-6595 |
| NPI Number | 1023687316 |
|---|---|
| Provider Enumeration Date | 06/21/2021 |
| Last Update Date | 06/21/2021 |
| Certification Date | 06/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023687316 | NPI | - | NPPES |
| 012331301 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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