Organization
HEAVEN'S ANGELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON RE'NEE LOPEZ (OWNER)
(609) 332-8598
Entity
Organization
Contact information
Practice address
1804 NATHAN DR, CINNAMINSON, NJ 08077-1556
(609) 332-8598
Mailing address
1804 NATHAN DR, CINNAMINSON, NJ 08077-1556
(609) 332-8598
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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