Provider Demographics
NPI:1720429277
Name:AN ANGEL FOR YOU
Entity Type:Organization
Organization Name:AN ANGEL FOR YOU
Other - Org Name:VISITING ANGELS OF SUSSEX COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-726-3010
Mailing Address - Street 1:328C SPARTA AVE
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-1168
Mailing Address - Country:US
Mailing Address - Phone:973-726-3010
Mailing Address - Fax:973-726-3018
Practice Address - Street 1:328C SPARTA AVE
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-1168
Practice Address - Country:US
Practice Address - Phone:973-726-3010
Practice Address - Fax:973-726-3018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0155100251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health