Organization
ANGEL AIDES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE LASHAUNDA GAVIN (OWNER)
(313) 707-8770
Entity
Organization
Contact information
Practice address
23602 COACH LIGHT DR, SOUTHFIELD, MI 48075-3670
(313) 707-8770
Mailing address
23602 COACH LIGHT DR, SOUTHFIELD, MI 48075-3670
(313) 707-8770
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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