OrganizationActive
Angel Group Home Corp
NPI 1295127793 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Miami, FL
Provider details
- NPI number
- 1295127793
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Leticia Perez Hernandez, President/Owner(786) 355-6781
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
21321 Sw 128th Ct
Miami, FL 33177-7421
Phone: (786) 355-6781
Approximate (ZIP-level) locationGet directions
Mailing address
21321 Sw 128th Ct
Miami, FL 33177-7421
Registry dates
- Enumerated
- 2015-02-21
- Last updated
- 2015-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.