Organization
MY ANGEL ADULT FOSTER CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEIDREA SANDERS (LICENSEE/ADMINISTRATOR)
(989) 401-8598
Entity
Organization
Contact information
Practice address
3561 S WASHINGTON RD, SAGINAW, MI 48601-4961
(989) 401-8598
(989) 393-6085
Mailing address
3561 S WASHINGTON RD, SAGINAW, MI 48601-4961
(989) 401-8598
(989) 393-6085
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AM730373246
MI
385H00000X
Respite Care
AM730373246
MI
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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