# CELESTIAL HOMES ASSISTED LIVING SERVICES

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

## Provider details

- **NPI number:** 1417401522
- **Authorized official:** MARY RUSSELL (MANAGER)
- **Authorized official phone:** (248) 421-6705

## Contact information

- **Practice address:** 201 WHITTEMORE ST, PONTIAC, MI 48342-3069
- **Practice address phone:** (248) 421-6705
- **Mailing address:** 201 WHITTEMORE ST, PONTIAC, MI 48342-3069
- **Mailing address phone:** (248) 421-6705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0146282 | MI | Yes |

## Other

- **Enumeration date:** 08/05/2016
- **Last updated:** 08/05/2016