Organization
CELESTIAL HOMES ASSISTED LIVING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY RUSSELL (MANAGER)
(248) 421-6705
Entity
Organization
Contact information
Practice address
201 WHITTEMORE ST, PONTIAC, MI 48342-3069
(248) 421-6705
Mailing address
201 WHITTEMORE ST, PONTIAC, MI 48342-3069
(248) 421-6705
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0146282
MI
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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