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Organization

SALVATION ARMY HARBOR LIGHT

Active
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Organization

SALVATION ARMY HARBOR LIGHT

Active
Parent organization
SALVATION ARMY HARBOR LIGHT
Other names
Medical Respite
Organization subpart
Yes

Provider details

NPI number
Legal business name
SALVATION ARMY HARBOR LIGHT
Authorized official
MICHELLE GATES (QUALITY ASSURANCE)
(313) 361-6136
Entity
Organization

Contact information

Practice address
3737 LAWTON ST, DETROIT, MI 48208-2500
(313) 361-6136
(313) 361-6210
Mailing address
3737 LAWTON ST, DETROIT, MI 48208-2500
(313) 361-6136
(313) 361-6210

Taxonomy

Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
NULL
251B00000X
Case Management Agency
—
NULL
251X00000X
Supports Brokerage Agency
—
NULL
385H00000X
Respite Care
Primary
—
NULL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0272428
—
MI
Enumeration date
05/01/2019
Last updated
12/04/2025
About Stedi
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