# LSJ FAMILY VILLAGE CARE TEAM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LSJ FAMILY CARE TEAM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689490559
- **Authorized official:** LADAWN JONES-RICHARDSON (DIRECTOR)
- **Authorized official phone:** (877) 742-6833

## Contact information

- **Practice address:** 24634 5 MILE RD STE 19, REDFORD, MI 48239-3667
- **Practice address phone:** (877) 742-6833
- **Mailing address:** 24634 5 MILE RD STE 19, REDFORD, MI 48239-3667
- **Mailing address phone:** (877) 742-6833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | — |
| 372500000X | Chore Provider | — | — | Yes |

## Other

- **Enumeration date:** 11/25/2024
- **Last updated:** 11/25/2024