# ANGELA'S HOUSE RESIDENTIAL CARE, LLC

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

## Provider details

- **NPI number:** 1992387609
- **Authorized official:** MRS. JANELLE LATRICE JOHNSON (MEMBER)
- **Authorized official phone:** (586) 506-0641

## Contact information

- **Practice address:** 18641 GREENFIELD RD, DETROIT, MI 48235-2918
- **Practice address phone:** (586) 506-0641
- **Mailing address:** 12245 BEECH DALY RD UNIT 40426, REDFORD, MI 48240-3218
- **Mailing address phone:** (586) 506-0641

## Taxonomy

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

## Other

- **Enumeration date:** 04/22/2021
- **Last updated:** 04/22/2021