Organization
ANGELIC HEALTH PRACTICE GROUP
Active
Other names
Angelic Palliative Care of SC
Organization subpart
No
Provider details
NPI number
Authorized official
DAN MIKUS (CEO)
(609) 822-7979
Entity
Organization
Contact information
Practice address
923C MEDICAL CIRCLE, MYRTLE BEACH, SC 29572
(843) 356-9078
(843) 356-4086
Mailing address
8025 BLACK HORSE PIKE STE 501, PLEASANTVILLE, NJ 08232-2967
(609) 822-7979
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
01/12/2024
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