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Organization
ANGELIC CARE GROUP HOME- SPECIALIZED AFC
Active
Organization
ANGELIC CARE GROUP HOME- SPECIALIZED AFC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOCHUKWU ANYADIBE (ADMINITRATOR)
(248) 403-0689
Entity
Organization
Contact information
Practice address
24548 SARGENT AVE, SOUTHFIELD, MI 48033-3932
(248) 403-0689
Mailing address
24548 SARGENT AVE, SOUTHFIELD, MI 48033-3932
(248) 403-0689
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/22/2026
Last updated
08/22/2026
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