Provider Demographics
NPI:1558900696
Name:ANGELIC HOME HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:ANGELIC HOME HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOLAPO
Authorized Official - Middle Name:T
Authorized Official - Last Name:SHODIPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-272-8384
Mailing Address - Street 1:27508 SCHOOLCRAFT RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-2203
Mailing Address - Country:US
Mailing Address - Phone:734-272-8384
Mailing Address - Fax:
Practice Address - Street 1:27508 SCHOOLCRAFT RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-2203
Practice Address - Country:US
Practice Address - Phone:734-272-8384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health