# HEAL WELL DETROIT LLC

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

## Provider details

- **NPI number:** 1578433892
- **Authorized official:** DESTINY COUNTRYMAN (OWNER)
- **Authorized official phone:** (510) 424-4255

## Contact information

- **Practice address:** 22243 FENKELL ST, DETROIT, MI 48223-1534
- **Practice address phone:** (510) 424-4255
- **Mailing address:** 22243 FENKELL ST, DETROIT, MI 48223-1534
- **Mailing address phone:** (510) 424-4255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | — | — |
| 251E00000X | Home Health Agency | — | — | — |
| 261QA0600X | Adult Day Care Clinic/Center | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |
| 385H00000X | Respite Care | — | — | Yes |

## Other

- **Enumeration date:** 11/11/2025
- **Last updated:** 10/01/2026