- Enrollment id
- O20120307000704
- Enrollment state
- FL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1346560422
- Multiple npi flag
- N
- Ccn
- 103135
- Associate id
- 6305005505
- Organization name
- ALCRISTA INVESTMENTS, INC.
- Doing business as name
- ANGELS CARE HOME HEALTH
- Incorporation date
- 1999-08-03
- Incorporation state
- FL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 21021 BETEL PALM LN
- City
- LAND O LAKES
- State
- FL
- Zip code
- 346382571