Organization
PROFESSIONAL ASSISTED LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANITA F TANG RN BSN (ADM OWNER)
(248) 626-0803
Entity
Organization
Contact information
Practice address
6508 CATHEDRAL DRIVE, BLOOMFIELD HILLS, MI 48301-3043
(248) 626-0803
(248) 626-1608
Mailing address
30800 TELEGRAPH ROAD, SUITE 1710, BINGHAM FARMS, MI 48025
(248) 282-0221
(248) 282-0223
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15432921
—
MI
Enumeration date
11/28/2006
Last updated
08/22/2020
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