NPI 1346015427
Angelic Advance Support Coordinator
Practice location
- Address
- 399 2nd St APT 3r, Jersey City, NJ 07302-2248
- Phone
- (319) 300-0095
- Mailing address
- 1107 Cameron Rd, Effort, PA 18330-2301
Authorised official
- Name
- Neema John Mushi
- Title
- Ceo
- Phone
- (319) 300-0095
Registered specialties (7)
Supports Brokerage Agency
Primary
Case Management Agency
Developmentally Disabled Services Day Training Agency
Public Health or Welfare Agency
Community/Behavioral Health Agency
Adult Day Care Clinic/Center
Point of Service
Registry record
- NPI
- 1346015427
- Entity type
- Organization
- NPI issued
- 20 Nov 2023
- Record last updated
- 3 Dec 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.