Organization
BLUE ANGEL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY ALFRED SHINA BSBA (MEMBER)
(248) 809-2906
Entity
Organization
Contact information
Practice address
1000 JOHN R RD, SUITE 212, TROY, MI 48083-5852
(248) 809-2906
(248) 809-2907
Mailing address
3986 GREENWOOD DR, ROCHESTER HILLS, MI 48309-4724
(248) 809-2906
(248) 809-2907
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/26/2008
Last updated
03/07/2015
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