# BROOKHAVEN HOUSING LLC

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

## Provider details

- **NPI number:** 1457047839
- **Authorized official:** MRS. MARCEIA LEWIS RN (OWNER)
- **Authorized official phone:** (734) 674-2128

## Contact information

- **Practice address:** 9372 PINEHURST ST, DETROIT, MI 48204-2658
- **Practice address phone:** (734) 674-2128
- **Mailing address:** 31749 HAZELWOOD ST, WESTLAND, MI 48186-8933
- **Mailing address phone:** (313) 704-4207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 04/18/2023
- **Last updated:** 06/22/2023