Organization · NPI-2
Angelic Assist LLC
Home Health · Newark, NJ
NPI number1124556105
StatusActive
Last updated in NPPESJan 13, 2023
Details
- NPI
- 1124556105
- Entity type
- Organization (NPI-2)
- Legal business name
- Angelic Assist LLC
- Organization subpart
- No
- Enumeration date
- Jun 2, 2017
- Certification date
- Jan 13, 2023
- Last updated
- Jan 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
51 Poe Ave Ste A1Newark, NJ 07106-1552
Phone 202-819-8733
Mailing address
51 Poe Ave Ste A1Newark, NJ 07106-1552
Phone 202-819-8733
Other practice locations
2021 E 41st St Apt 4c
Brooklyn, NY 11234-2914
Brooklyn, NY 11234-2914
Phone 202-758-4253
Authorized official
Twanna Channel Stewart
Owner
2028198733
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