Provider Demographics
NPI:1497380513
Name:PLESS, ANGELIC
Entity Type:Individual
Prefix:
First Name:ANGELIC
Middle Name:
Last Name:PLESS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 WOODSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-2212
Mailing Address - Country:US
Mailing Address - Phone:856-434-8415
Mailing Address - Fax:
Practice Address - Street 1:44 WOODSHIRE DR
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-2212
Practice Address - Country:US
Practice Address - Phone:856-434-8415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care