Provider Demographics
NPI:1275116469
Name:ANGEL AND JULES FOR OTHERS
Entity Type:Organization
Organization Name:ANGEL AND JULES FOR OTHERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLANO
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:732-281-7789
Mailing Address - Street 1:49 CEDAR DR
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-1602
Mailing Address - Country:US
Mailing Address - Phone:732-281-7789
Mailing Address - Fax:
Practice Address - Street 1:291 HAWKIN RD
Practice Address - Street 2:
Practice Address - City:NEW EGYPT
Practice Address - State:NJ
Practice Address - Zip Code:08533-2605
Practice Address - Country:US
Practice Address - Phone:732-281-7789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Single Specialty