# ANGELIC HEALTH OF SC LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ANGELIC HEALTH OF SC LLC
- **Other names:** Angelic Palliative Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962075580
- **Legal business name:** ANGELIC HEALTH OF SC LLC
- **Authorized official:** DAN MIKUS (CEO)
- **Authorized official phone:** (609) 822-7979

## Contact information

- **Practice address:** 923 MEDICAL CIR, MYRTLE BEACH, SC 29572-4116
- **Practice address phone:** (854) 444-9998
- **Mailing address:** 8025 BLACK HORSE PIKE STE 501, PLEASANTVILLE, NJ 08232-2967
- **Mailing address phone:** (609) 822-7979
- **Mailing address fax:** (609) 822-7980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2021
- **Last updated:** 07/21/2021