# PAMPERED CHILD

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

## Provider details

- **NPI number:** 1366809519
- **Authorized official:** MS. ANGELA LATRICE SHAKIR MSW (COORDINATOR)
- **Authorized official phone:** (248) 210-9466

## Contact information

- **Practice address:** 44200 WOODWARD AVE, STE 205, PONTIAC, MI 48341-5045
- **Practice address phone:** (248) 210-9466
- **Mailing address:** 1450 OAKBROOK E, ROCHESTER HILLS, MI 48307-1126
- **Mailing address phone:** (248) 210-9466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/19/2016
- **Last updated:** 01/19/2016
