# LAVISH HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAVISH HEALTHCARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629585971
- **Legal business name:** LAVISH HEALTHCARE
- **Authorized official:** DIANE BRATHWAITE LPN (OWNER)
- **Authorized official phone:** (313) 719-2171

## Contact information

- **Practice address:** 20558 OAKFIELD ST, DETROIT, MI 48235-2149
- **Practice address phone:** (313) 719-2171
- **Mailing address:** 20558 OAKFIELD ST, DETROIT, MI 48235-2149
- **Mailing address phone:** (313) 719-2171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | — | NULL | Yes |
| 164W00000X | Licensed Practical Nurse | — | — | Yes |

## Other

- **Enumeration date:** 01/09/2018
- **Last updated:** 06/16/2018