# ANGELIC CARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093262107
- **Authorized official:** BLAKE JAMES (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (248) 790-7333

## Contact information

- **Practice address:** 18630 SCHOOLCRAFT STE 101, DETROIT, MI 48223-2902
- **Practice address phone:** (248) 790-7333
- **Mailing address:** PO BOX 3720, SOUTHFIELD, MI 48037-3720
- **Mailing address phone:** (248) 790-7333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2016
- **Last updated:** 09/07/2016
