# SALVATION ARMY HARBOR LIGHT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SALVATION ARMY HARBOR LIGHT
- **Other names:** Medical Respite
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225692619
- **Legal business name:** SALVATION ARMY HARBOR LIGHT
- **Authorized official:** MICHELLE GATES (QUALITY ASSURANCE)
- **Authorized official phone:** (313) 361-6136

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 05/01/2019
- **Last updated:** 12/04/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0272428 | — | MI |