# BLESSED ANGELS HOME HEALTH CARE, LLC

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

## Provider details

- **NPI number:** 1477799443
- **Authorized official:** MISS SHA'JUAN ANITA TAYLOR (MANAGING OWNER)
- **Authorized official phone:** (313) 632-1695

## Contact information

- **Practice address:** 26652 TOM ALLEN DR, WARREN, MI 48089-3524
- **Practice address phone:** (313) 632-1695
- **Practice address fax:** (313) 305-4487
- **Mailing address:** 26652 TOM ALLEN DR, WARREN, MI 48089-3524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | MI | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | MI | — |

## Other

- **Enumeration date:** 12/22/2008
- **Last updated:** 12/23/2008
