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

Angel of God Heart Support Services LLC

Organization Developmentally Disabled Services Day Training Agency · NPI 1265111017

Angel of God Heart Support Services LLC is a Developmentally Disabled Services Day Training Agency in Lake Wales, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1662 Tangelo St
Lake Wales, FL 33898-7406
Phone: (863) 440-2824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X

Record details

NPI number1265111017
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angel Nickerson — Owner · (863) 440-2824
NPI enumeratedJuly 17, 2023
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023
Mailing address1662 Tangelo St, Lake Wales, FL 33898-7406

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