| NPI | 1922763796 |
|---|---|
| Doing Business As | ANGELS AND GRACE PROVIDER SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHANTEL CUTLER Owner 904-651-0566 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 376J00000X Homemaker | |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2021-11-05 |