Organization
ANGELIC SUPPORT LLC
Active
Organization
ANGELIC SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL MILLINDER (OWNER)
(602) 643-9950
Entity
Organization
Contact information
Practice address
4025 W BELL RD, PHOENIX, AZ 85053-2750
(602) 643-9950
Mailing address
25936 W SUPERIOR AVE, BUCKEYE, AZ 85326-2496
(623) 552-0851
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51582
OTHER
AZ
Enumeration date
10/21/2022
Last updated
10/21/2022
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