Provider Demographics
NPI:1164187738
Name:MIKAL, LLC
Entity Type:Organization
Organization Name:MIKAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWEIDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-271-5100
Mailing Address - Street 1:100 DAVIDSON AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1312
Mailing Address - Country:US
Mailing Address - Phone:732-271-5100
Mailing Address - Fax:
Practice Address - Street 1:100 DAVIDSON AVE STE 105
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1312
Practice Address - Country:US
Practice Address - Phone:732-271-5100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health