Healthcare Provider Details

I. General information

NPI: 1316853310
Provider Name (Legal Business Name): ANGELIC TOUCH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24625 JOHNSTON AVE
EASTPOINTE MI
48021-1436
US

IV. Provider business mailing address

24625 JOHNSTON AVE
EASTPOINTE MI
48021-1436
US

V. Phone/Fax

Practice location:
  • Phone: 313-969-2876
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KESHAUNE YOLANDA JENKINS
Title or Position: OWNER/AUTHORIZED OFFICIAL
Credential: LPN
Phone: 313-969-2876