Organization
ANGELS' PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL LEE LOVEDAY B.S. (EXECUTIVE DIRECTOR)
(248) 350-2203
Entity
Organization
Contact information
Practice address
29299 FRANKLIN ROAD #2, SOUTHFIELD, MI 48034
(248) 350-2203
(248) 350-3577
Mailing address
29299 FRANKLIN ROAD #2, SOUTHFIELD, MI 48034
(248) 350-2203
(248) 350-3577
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
AS630247482
MI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
AS820244249
MI
Other
Enumeration date
10/13/2006
Last updated
12/31/2013
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