ANGELS' PLACE NPI 1376633297

NPI Information

ANGELS' PLACE is a community based residential treatment facility, intellectual and/or developmental disabilities in Southfield, MI. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. ANGELS' PLACE NPI is 1376633297. The provider is registered as an organization entity type.

The provider's business location address is:

29299 FRANKLIN ROAD #2
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 350-2203
Fax: (248) 350-3577

The provider's authorized official is Cheryl Lee Loveday .
The authorized official title is Executive Director and has the following contact phone number (248) 350-2203.

The CLIA number assigned to this NPI record is 23D2225770 - other - afc specialized residenti with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 12/31/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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