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Organization

ANGELIC COMMUNITY &AND FAMILY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC MITCHELL (DIRECTOR OF OPERATIONS)
(704) 532-6369
Entity
Organization

Contact information

Practice address
5601 EXECUTIVE CENTER DR, SUITE 220, CHARLOTTE, NC 28212-8863
(866) 391-6369
(866) 293-6371
Mailing address
5601 EXECUTIVE CENTER DR, SUITE 220, CHARLOTTE, NC 28212-8863
(866) 391-6369
(866) 293-6371

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8301884B
NC
05
8301885B
NC
Enumeration date
07/13/2007
Last updated
07/13/2007
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  • EDI platform