# 1 LIFE CHANGES

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

## Provider details

- **NPI number:** 1518610559
- **Authorized official:** LASHAWN DAVIS (OWNER)
- **Authorized official phone:** (248) 506-4586

## Contact information

- **Practice address:** 440 BURROUGHS ST STE 604, DETROIT, MI 48202-3473
- **Practice address phone:** (248) 785-8669
- **Practice address fax:** (855) 746-3274
- **Mailing address:** 440 BURROUGHS ST STE 604, DETROIT, MI 48202-3473
- **Mailing address phone:** (248) 785-8669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/31/2022
- **Last updated:** 01/31/2022