NPI 1265111017

Angel of God Heart Support Services LLC

Organisation Developmentally Disabled Services Day Training Agency Lake Wales, FL

Practice location

Address: 1662 Tangelo St, Lake Wales, FL 33898-7406
Phone: (863) 440-2824

Authorised official

Name: Angel Nickerson
Title: Owner
Phone: (863) 440-2824

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Florida →

Registry record

NPI: 1265111017
Entity type: Organization
NPI issued: 17 Jul 2023
Record last updated: 17 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.