Organization
ANGEL SUPPORT COORDINATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA THORA JOHNSON APPLETON (EXECUTIVE DIRECTOR)
(862) 252-3589
Entity
Organization
Contact information
Practice address
40 WATSON AVE, EAST ORANGE, NJ 07018-3304
(862) 252-3589
Mailing address
40 WATSON AVE, EAST ORANGE, NJ 07018-3304
(862) 252-3589
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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