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NPI Code Detail

MEDICARE: ANGEL HEALTHCARE HOME MEDICAL

MEDICARE: ANGEL HEALTHCARE HOME MEDICAL
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
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588866529
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGEL HEALTHCARE HOME MEDICAL
Provider Business Mailing Address
First Line : 1613 STAR BATT DR
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48309-3706
Country : US
Telephone Number : 248-844-9650
Fax Number : 248-844-9651
Provider Business Practice Location Address
First Line : 1613 STAR BATT DR
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48309-3706
Country : US
Telephone Number : 248-844-9650
Fax Number : 248-844-9651
Authorized Official
Title or Position : PRESIDENT, CEO
Name : VINCENT F. SALVIA
Credential : BS, MBA
Telephone Number : 248-844-9650
Provider Enumeration Date : 06/01/2007
Last Update Date : 03/04/2011

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Directions to “ANGEL HEALTHCARE HOME MEDICAL ” Practice Location

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