# A MEMORY FOR LIFE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245783182
- **Authorized official:** KATHLEEN JENNIFER SKINNER (OWNER/OPERATOR)
- **Authorized official phone:** (586) 383-2269

## Contact information

- **Practice address:** 22424 MILNER ST, SAINT CLAIR SHORES, MI 48081-2003
- **Practice address phone:** (586) 383-2269
- **Mailing address:** 22424 MILNER ST, SAINT CLAIR SHORES, MI 48081-2003
- **Mailing address phone:** (586) 383-2269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 07/27/2016
- **Last updated:** 07/27/2016