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Organization
ANGELS UNAWARE
Active
Organization
ANGELS UNAWARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE SMITH (CEO)
(248) 214-6809
Entity
Organization
Contact information
Practice address
204 DELLWOOD AVE, PONTIAC, MI 48341-2735
(248) 214-6809
Mailing address
204 DELLWOOD AVE, PONTIAC, MI 48341-2735
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251B00000X
—
MI
Enumeration date
09/27/2012
Last updated
09/27/2012
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