Organization · Type 2 NPI

Angel Mary C

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Davie, FL

NPI number 1700778651 Active

Practice location

5500 SW 39th St
Davie, FL 33314-3704

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1700778651

Angel Mary C's National Provider Identifier is 1700778651, issued on Jul 16, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Davie, FL. The record was last updated on Nov 14, 2025.