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Organization
ANGELIC PALLIATIVE CARE
Active
Organization
ANGELIC PALLIATIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN MIKUS (ADMINISTRATOR)
(609) 822-7979
Entity
Organization
Contact information
Practice address
8025 BLACK HORSE PIKE STE 501, PLEASANTVILLE, NJ 08232
(609) 822-7979
(609) 822-7980
Mailing address
8025 BLACK HORSE PIKE STE 501, PLEASANTVILLE, NJ 08232-2967
(609) 822-7979
(609) 822-7980
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WW0000X
Wound Care Registered Nurse
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/20/2018
Last updated
08/04/2021
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