# BLUE ANGEL HOME CARE LLC

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

## Provider details

- **NPI number:** 1811169121
- **Authorized official:** MR. ANTHONY ALFRED SHINA BSBA (MEMBER)
- **Authorized official phone:** (248) 809-2906

## Contact information

- **Practice address:** 1000 JOHN R RD, SUITE 212, TROY, MI 48083-5852
- **Practice address phone:** (248) 809-2906
- **Practice address fax:** (248) 809-2907
- **Mailing address:** 3986 GREENWOOD DR, ROCHESTER HILLS, MI 48309-4724
- **Mailing address phone:** (248) 809-2906
- **Mailing address fax:** (248) 809-2907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2008
- **Last updated:** 03/07/2015