# ANGEL COMMUNITY ALLIANCE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Angel Community Alliance,inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871384180
- **Authorized official:** ANGELICKA JAMES (CEO)
- **Authorized official phone:** (929) 426-9677

## Contact information

- **Practice address:** 508 BEACH 22ND ST, FAR ROCKAWAY, NY 11691-2678
- **Practice address phone:** (929) 427-9677
- **Practice address fax:** (516) 268-9322
- **Mailing address:** 508 BEACH 22ND ST, FAR ROCKAWAY, NY 11691-2678
- **Mailing address phone:** (929) 427-9677
- **Mailing address fax:** (516) 268-9322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/15/2025
- **Last updated:** 05/30/2025