# LOUISIANA HOME, INC.

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

## Provider details

- **NPI number:** 1346485562
- **Authorized official:** MS. LILLIA ROSE DODSON B.A. BUSINESS ADMINI (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (313) 868-8724

## Contact information

- **Practice address:** 1950 WEBB STREET, DETROIT, MI 48206-1282
- **Practice address phone:** (313) 868-8724
- **Practice address fax:** (313) 883-5023
- **Mailing address:** 1950 WEBB STREET, DETROIT, MI 48206-1282
- **Mailing address phone:** (313) 868-8724
- **Mailing address fax:** (313) 883-5023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |
| 385H00000X | Respite Care | — | — | — |

## Other

- **Enumeration date:** 12/03/2008
- **Last updated:** 12/03/2008