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NPI Code Detail

MEDICARE: ANGEL DIRECT HOMECARE, LLC

MEDICARE: ANGEL DIRECT HOMECARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1326231648
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGEL DIRECT HOMECARE, LLC
Provider Business Mailing Address
First Line : 2619 PRODUCT DR
Second Line : SUITE 106
City : ROCHESTER HILLS
State : MI
Zip : 48309-3807
Country : US
Telephone Number : 248-844-9650
Fax Number : 248-844-9651
Provider Business Practice Location Address
First Line : 2619 PRODUCT DR
Second Line : SUITE 106
City : ROCHESTER HILLS
State : MI
Zip : 48309-3807
Country : US
Telephone Number : 248-844-9650
Fax Number : 248-844-9651
Authorized Official
Title or Position : PRESIDENT, CEO
Name : VINCENT FELICE SALVIA
Credential : BS, MBA
Telephone Number : 248-844-9650
Provider Enumeration Date : 08/21/2007
Last Update Date : 08/21/2007

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Directions to “ANGEL DIRECT HOMECARE, LLC ” Practice Location

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