# CIRCUMSTANCES OF LIFE MICHIGAN, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Circumstances of Life Michigan, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679388342
- **Authorized official:** MRS. KISHAWNDRIA SHANTAA JONES-MINER (PROVIDER)
- **Authorized official phone:** (734) 552-4609

## Contact information

- **Practice address:** 14797 ROSEMARY ST, DETROIT, MI 48213-1539
- **Practice address phone:** (734) 552-4609
- **Mailing address:** PO BOX 5212, DETROIT, MI 48205-0212
- **Mailing address phone:** (734) 552-4609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253J00000X | Foster Care Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 02/10/2025
- **Last updated:** 04/24/2025