# LEWIS INSURANCE AGENCY LLC

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

## Provider details

- **NPI number:** 1285939611
- **Authorized official:** VALLORIE B LEWIS NONE (PRESIDENT)
- **Authorized official phone:** (313) 977-0051

## Contact information

- **Practice address:** 8304 GRANDMONT RD, DETROIT, MI 48228-2288
- **Practice address phone:** (313) 977-0051
- **Mailing address:** PO BOX 44234, DETROIT, MI 48244-0234
- **Mailing address phone:** (313) 977-0051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0325305 | MI | Yes |
| 251X00000X | Supports Brokerage Agency | 0325305 | MI | — |
| 253Z00000X | In Home Supportive Care Agency | 0325305 | MI | — |

## Other

- **Enumeration date:** 01/15/2011
- **Last updated:** 01/15/2011