# LIFECARE OF MICHIGAN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LIFECARE PHARMACY OF MICHIGAN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306228721
- **Authorized official:** MRS. WANSA MAKKI (PRESIDENT)
- **Authorized official phone:** (313) 231-1141

## Contact information

- **Practice address:** 23580 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48336-3241
- **Practice address phone:** (734) 261-4400
- **Practice address fax:** (734) 261-4803
- **Mailing address:** 23580 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48336-3241
- **Mailing address phone:** (734) 261-4400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 5301010697 | MI | Yes |

## Other

- **Enumeration date:** 06/22/2015
- **Last updated:** 06/22/2015