Organization
ANGELIC HEALTH OF PA LLC
Active
Parent organization
ANGELIC HEALTH OF PA LLC
Other names
Angelic Palliative Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANGELIC HEALTH OF PA LLC
Authorized official
DAN MIKUS (CEO)
(609) 822-7979
Entity
Organization
Contact information
Practice address
486 NORRISTOWN RD STE 133, BLUE BELL, PA 19422-2353
(267) 858-1494
Mailing address
8025 BLACK HORSE PIKE STE 501, PLEASANTVILLE, NJ 08232-2967
(609) 822-7979
(609) 822-7980
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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