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Organization
MY ANGELIC CARE LLC
Active
Organization
MY ANGELIC CARE LLC
Active
Other names
My Angelic Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MYRON ANTHONY JOHNSON (CEO)
(610) 508-9255
Entity
Organization
Contact information
Practice address
4248 N SYDENHAM ST, PHILADELPHIA, PA 19140-1925
(610) 508-9255
Mailing address
4248 N SYDENHAM ST, PHILADELPHIA, PA 19140-1925
(610) 508-9255
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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