Provider Demographics
NPI:1285270553
Name:LOVING ANGELS NETWORK
Entity type:Organization
Organization Name:LOVING ANGELS NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SERVICE COORDINATOR SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:TILIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:ADS, MAJ
Authorized Official - Phone:856-361-3772
Mailing Address - Street 1:1977 N OLDEN AVENUE EXT STE 207
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-2113
Mailing Address - Country:US
Mailing Address - Phone:856-361-3772
Mailing Address - Fax:
Practice Address - Street 1:14 BIRCH AVE STE A
Practice Address - Street 2:
Practice Address - City:WESTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08093-1101
Practice Address - Country:US
Practice Address - Phone:856-361-3772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-21
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services