# ANGELIC CARE LIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ANGELIC CARE LIVING LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235843384
- **Authorized official:** MRS. CORLENE ANN ROXANNE LONDON (EXECUTIVE OFFICER)
- **Authorized official phone:** (856) 329-9619

## Contact information

- **Practice address:** 207 BOGDEN BLVD STE H, MILLVILLE, NJ 08332-4844
- **Practice address phone:** (856) 329-9619
- **Practice address fax:** (856) 329-9908
- **Mailing address:** 207 BOGDEN BLVD, MILLVILLE, NJ 08332-4844
- **Mailing address phone:** (856) 329-9619
- **Mailing address fax:** (856) 329-9908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/12/2023
- **Last updated:** 06/14/2023