Organization
GUARDIAN ANGEL CARE MIHP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONJIA PETERSON (OWNER)
(734) 858-7709
Entity
Organization
Contact information
Practice address
4609 S WAYNE RD STE 1, WAYNE, MI 48184-2310
(734) 858-7709
(734) 858-7802
Mailing address
30169 JAMESTOWN ST, ROMULUS, MI 48174-3149
(734) 858-7709
(734) 858-7802
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/21/2019
Last updated
02/01/2024
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