Organization
MY ANGELIC CARE LLC
Active
Other names
My Angelic Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MYRON ANTHONY JOHNSON (CEO)
(610) 508-9255
Entity
Organization
Contact information
Practice address
4248 N SYDENHAM ST, PHILADELPHIA, PA 19140-1925
(610) 508-9255
Mailing address
4248 N SYDENHAM ST, PHILADELPHIA, PA 19140-1925
(610) 508-9255
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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