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Organization
LAVISH HEALTHCARE
Active
Organization
LAVISH HEALTHCARE
Active
Parent organization
LAVISH HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAVISH HEALTHCARE
Authorized official
DIANE BRATHWAITE LPN (OWNER)
(313) 719-2171
Entity
Organization
Contact information
Practice address
20558 OAKFIELD ST, DETROIT, MI 48235-2149
(313) 719-2171
Mailing address
20558 OAKFIELD ST, DETROIT, MI 48235-2149
(313) 719-2171
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
NULL
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
06/16/2018
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