Organization
ANGELS OF THE HEART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN IRA RANDALL CPA (CONSULTANT)
(313) 529-7002
Entity
Organization
Contact information
Practice address
18870 CHURCH HILL DR, RIVERVIEW, MI 48193-1702
(734) 589-2313
(734) 225-6495
Mailing address
17373 ROXBURY AVE, SOUTHFIELD, MI 48075-7610
(248) 761-7452
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
AS80294958
MI
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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