Organization
MY GUARDIAN ANGEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE DOUCETTE (PROVIDER/OWNER)
(248) 910-4467
Entity
Organization
Contact information
Practice address
2460 GEORGELAND DR, WATERFORD, MI 48329-3744
(248) 673-5505
Mailing address
25680 CATALINA ST, SOUTHFIELD, MI 48075-1739
(248) 910-4467
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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