# CHARLI'S ANGELS HOME HEALTHCARE COMPANY

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

## Provider details

- **NPI number:** 1093282527
- **Authorized official:** KATRINA HARDAWAY (CEO/MANAGER)
- **Authorized official phone:** (313) 525-0045

## Contact information

- **Practice address:** 14570 PIEDMONT ST, DETROIT, MI 48223-2241
- **Practice address phone:** (313) 525-0045
- **Mailing address:** 14570 PIEDMONT ST, DETROIT, MI 48223-2241
- **Mailing address phone:** (313) 525-0045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372500000X | Chore Provider | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2018
- **Last updated:** 11/02/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8763465 | — | MI |
