Organization
ANCA & LEO LLC
Active
Other names
Guardian Angels Support Coordinator Agency
Organization subpart
No
Provider details
NPI number
Authorized official
ANCUTA FELICIA PEREA BUSINESS ADMINSTRATI (ADMINISTRATOR)
(267) 207-0195
Entity
Organization
Contact information
Practice address
9107 REVERE ST STE 1, PHILADELPHIA, PA 19152
(267) 207-0195
Mailing address
9107 REVERE ST STE 1, PHILADELPHIA, PA 19152-1523
(267) 207-0195
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
PA
251E00000X
Home Health Agency
—
—
Other
Enumeration date
07/17/2017
Last updated
07/21/2022
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