Organization · NPI-2

Angelic Care Services

Health Maintenance Organization · Detroit, MI

NPI number1093262107
StatusActive
Last updated in NPPESSep 7, 2016

Details

NPI
1093262107
Entity type
Organization (NPI-2)
Legal business name
Angelic Care Services
Organization subpart
No
Enumeration date
Sep 7, 2016
Last updated
Sep 7, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302R00000X Health Maintenance Organization––Yes

Practice location

18630 Schoolcraft Ste 101
Detroit, MI 48223-2902

Phone 248-790-7333

Mailing address

Po Box 3720
Southfield, MI 48037-3720

Phone 248-790-7333

Authorized official

Blake James
Chief Financial Officer
2487907333

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