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NPI Code Detail

MEDICARE: LOVING ANGELS OF MICHIGAN

MEDICARE: LOVING ANGELS OF MICHIGAN
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
1174200000XMeals Provider
2251B00000XCase Management Agency
3251J00000XNursing Care Agency
4253Z00000XIn Home Supportive Care Agency
5311ZA0620XAdult Care Home Facility

General Provider Information

NPI Number : 1952868861
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOVING ANGELS OF MICHIGAN
Provider Business Mailing Address
First Line : 25711 W WARREN ST
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-2046
Country : US
Telephone Number : 313-914-5179
Fax Number : 866-295-8032
Provider Business Practice Location Address
First Line : 25711 W WARREN ST
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-2046
Country : US
Telephone Number : 313-914-5179
Fax Number : 866-295-8032
Authorized Official
Title or Position : PRESIDENT
Name : MS. LOUANNA NONE WOODHULL
Credential :
Telephone Number : 313-914-5179
Provider Enumeration Date : 02/27/2019
Last Update Date : 02/27/2019

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Directions to “LOVING ANGELS OF MICHIGAN ” Practice Location

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