Provider Demographics
NPI:1750915930
Name:ANGEL ARMY LLC
Entity type:Organization
Organization Name:ANGEL ARMY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT &CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALICKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-805-8433
Mailing Address - Street 1:552 SUGARTREE RD
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-1835
Mailing Address - Country:US
Mailing Address - Phone:215-805-8433
Mailing Address - Fax:215-357-6150
Practice Address - Street 1:552 SUGARTREE RD
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:18966-1835
Practice Address - Country:US
Practice Address - Phone:215-805-8433
Practice Address - Fax:215-357-6150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care