Provider Demographics
NPI:1821201286
Name:ANGEL CARE CHILD AND FAMILY HEALTH AND HUMAN SERVICES INC.
Entity Type:Organization
Organization Name:ANGEL CARE CHILD AND FAMILY HEALTH AND HUMAN SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTCEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSARIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-744-1923
Mailing Address - Street 1:4311 HOWLAND ST
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19124-4319
Mailing Address - Country:US
Mailing Address - Phone:215-744-1923
Mailing Address - Fax:215-437-4720
Practice Address - Street 1:4311 HOWLAND ST
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19124-4319
Practice Address - Country:US
Practice Address - Phone:215-744-1923
Practice Address - Fax:215-437-4720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA02880501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health