Organization
ANGELA&ANGELAS HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SHEPHERD NURSE (DIRECTOR OF OPERATIONS)
(313) 826-9773
Entity
Organization
Contact information
Practice address
29554 BIRCHWOOD ST, INKSTER, MI 48141-1024
(313) 826-9773
Mailing address
22430 GRATIOT AVE UNIT 667, EASTPOINTE, MI 48021-7030
(313) 826-9773
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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