ANGELICA STRADE
Adult Care Home
Ocala, Florida
Provider NPI: 1710144480
Provider Information:ANGELICA STRADE
Practice Location:
1207 SE 15TH ST OCALA, FL 34471 US
Tel: 352-426-0023 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | FL | 6905373 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
141485200 | FL | 05 | |
678018196 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin