Provider Demographics
NPI:1104221993
Name:ANITA'S ANGEL'S INC.
Entity Type:Organization
Organization Name:ANITA'S ANGEL'S INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:MRS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCPEEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-788-9390
Mailing Address - Street 1:361 ROUTE 31
Mailing Address - Street 2:SUITE 1102
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5796
Mailing Address - Country:US
Mailing Address - Phone:908-788-9390
Mailing Address - Fax:908-788-6977
Practice Address - Street 1:361 ROUTE 31
Practice Address - Street 2:SUITE 1102
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5796
Practice Address - Country:US
Practice Address - Phone:908-788-9390
Practice Address - Fax:908-788-6977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0016400253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care