Provider Demographics
NPI:1033835905
Name:EXERCISE ANGELS LLC
Entity Type:Organization
Organization Name:EXERCISE ANGELS LLC
Other - Org Name:A & E HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMANDO APOLLO
Authorized Official - Middle Name:VILLANOA
Authorized Official - Last Name:VERGARA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:609-442-0896
Mailing Address - Street 1:113 HASTINGS DR
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-4680
Mailing Address - Country:US
Mailing Address - Phone:609-442-0896
Mailing Address - Fax:
Practice Address - Street 1:113 HASTINGS DR
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-4680
Practice Address - Country:US
Practice Address - Phone:609-442-0896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty