Organization
MYANGELS WORKSHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA HICKMON (OWNER)
(586) 443-6543
Entity
Organization
Contact information
Practice address
2515 E 12 MILE RD, WARREN, MI 48092-5648
(586) 443-6543
Mailing address
2515 E 12 MILE RD, WARREN, MI 48092-5648
(586) 443-6543
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
MI
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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