Organization
ANGELS ON WHEELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS IEISHA L HUSSAIN (OWNER)
(248) 773-1640
Entity
Organization
Contact information
Practice address
2804 ORCHARD LAKE RD, SUTIE 204 B, KEEGO HARBOR, MI 48320-1449
(248) 773-1640
Mailing address
2804 ORCHARD LK RD., SUTIE 204 B, KEEGO HARBOR, MI 48320
(248) 773-1640
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
D63483
MI
251E00000X
Home Health Agency
Primary
—
MI
253Z00000X
In Home Supportive Care Agency
D63483
MI
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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