Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angel Mary C

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1700778651

Angel Mary C is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Davie, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

5500 SW 39th St
Davie, FL 33314-3704
Phone: (954) 248-7222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X

Record details

NPI number1700778651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jorge Fernandez — Director · (954) 248-7222
NPI enumeratedJuly 16, 2025
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025
Mailing address5500 Sw 39th St, Davie, FL 33314-3704

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