Alexis Angel'S LLC
Substance Abuse Rehabilitation Facility in Philadelphia, PA. Organization (NPI-2).
NPI number1083311492
StatusActive
Last updated in NPPESFeb 15, 2023
Details
- NPI
- 1083311492
- Entity type
- Organization (NPI-2)
- Legal business name
- Alexis Angel'S LLC
- Organization subpart
- No
- Enumeration date
- Feb 15, 2023
- Certification date
- Feb 15, 2023
- Last updated
- Feb 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Practice location
124 W Sylvania StPhiladelphia, PA 19144-3622
Phone 215-582-5560
Mailing address
124 W Sylvania StPhiladelphia, PA 19144-3622
Phone 215-582-5560
Authorized official
Sharon Mayes
Owner
2155825560
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