Angels of the Heart

NPI #1124342852 in Riverview, Michigan

Provider Information

NPI Number: 1124342852
Entity Type: Organization
Organization Name: Angels of the Heart
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Mar 24, 2010
Last Updated: Mar 24, 2010

Practice Location

Address: 18870 CHURCH HILL DR
City: Riverview
State: Michigan
ZIP Code: 48193-1702
Phone: (734) 589-2313

Authorized Official

Name: STEPHEN IRA RANDALL, CPA
Title: CONSULTANT
Phone: (313) 529-7002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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