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Organization
ENCHANTED ANGELS, LLC
Active
Organization
ENCHANTED ANGELS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIONE WILLIAMS (EXECUTIVE DIRECTOR)
(313) 656-8296
Entity
Organization
Contact information
Practice address
6218 ANDREA LN, WEST BLOOMFIELD, MI 48322-2121
(313) 656-8296
Mailing address
6218 ANDREA LN, WEST BLOOMFIELD, MI 48322-2121
(313) 656-8296
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
302R00000X
Health Maintenance Organization
—
NULL
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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