Individual ProviderAngeline FlorestalCounselorBehavioral Health & Social Service ProvidersPractice Address504 Dudley St, Roxbury, MA 02119-2732(617) 989-9433PECOS EnrollmentBased on the most recent information from CMS, provider Angeline Florestal does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1467167858Provider TypeIndividualFull NameFlorestal, AngelineGenderFemaleSole ProprietorYesEnumeration Date1/19/2023Last Updated1/19/2023Contact InformationPractice LocationPractice Address504 Dudley St, Roxbury, MA 02119-2732Phone(617) 989-9433FaxUnlisted FaxMailing LocationMailing Address504 Dudley St, Roxbury, MA 02119-2732Phone(617) 989-9433FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer