NPI 1578938197

Enchanted Angels, LLC

Organisation Case Management Agency West Bloomfield, MI

Practice location

Address: 6218 Andrea Ln, West Bloomfield, MI 48322-2121
Phone: (313) 656-8296

Authorised official

Name: Dione Williams
Title: Executive Director
Phone: (313) 656-8296

Registered specialties (3)

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Health Maintenance Organization

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1578938197
Entity type: Organization
NPI issued: 8 Dec 2015
Record last updated: 8 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.