# LPH HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LPH HOME CARE LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366373607
- **Legal business name:** LPH HOME CARE LLC
- **Authorized official:** DESIRER JACKSON-WILLIAMS JACKSON-WILLIAMS (OWNER)
- **Authorized official phone:** (586) 252-0088

## Contact information

- **Practice address:** 79 MACOMB PL, MOUNT CLEMENS, MI 48043-5625
- **Practice address phone:** (586) 252-0088
- **Mailing address:** 25535 ARLINGTON ST, ROSEVILLE, MI 48066-3919
- **Mailing address phone:** (586) 252-0088
- **Mailing address fax:** (586) 252-0088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/26/2026
- **Last updated:** 05/26/2026
