Organization
PAMPERED CHILD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA LATRICE SHAKIR MSW (COORDINATOR)
(248) 210-9466
Entity
Organization
Contact information
Practice address
44200 WOODWARD AVE, STE 205, PONTIAC, MI 48341-5045
(248) 210-9466
Mailing address
1450 OAKBROOK E, ROCHESTER HILLS, MI 48307-1126
(248) 210-9466
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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