Angels of the Heart

Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Riverview, MI

NPI 1124342852 · NPPES record last updated Mar 24, 2010

Key facts

NPI
1124342852
Entity type
Organization (NPI type 2)
Primary specialty
Mental Illness Community Based Residential Treatment Facility 320800000X
License
AS80294958 (MI)
Legal business name
ANGELS OF THE HEART
Practice address
18870 Church Hill Dr
Riverview, MI 48193-1702
Phone
(734) 589-2313
Fax
(734) 225-6495
NPI assigned
Mar 24, 2010
Organization subpart
No

Authorized official

Name
Stephen Ira Randall, CPA
Title
Consultant
Phone
(313) 529-7002

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X AS80294958 MI Yes

Addresses

Primary practice location

18870 Church Hill Dr
Riverview, MI 48193-1702

Mailing address

17373 Roxbury Ave
Southfield, MI 48075-7610
Phone (248) 761-7452

Other providers in Riverview, MI

All providers in Riverview, MI · Mental Illness Community Based Residential Treatment Facility in Michigan

Sources for this page

Verify at the official NPI Registry.