Organization
CHARLI'S ANGELS HOME HEALTHCARE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA HARDAWAY (CEO/MANAGER)
(313) 525-0045
Entity
Organization
Contact information
Practice address
14570 PIEDMONT ST, DETROIT, MI 48223-2241
(313) 525-0045
Mailing address
14570 PIEDMONT ST, DETROIT, MI 48223-2241
(313) 525-0045
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8763465
—
MI
Enumeration date
11/02/2018
Last updated
11/02/2018
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