# DOMUS SECRETA LLC.

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

## Provider details

- **NPI number:** 1710786074
- **Authorized official:** ERIDEJA MATTHEWS N/A (MANAGER)
- **Authorized official phone:** (866) 703-5586

## Contact information

- **Practice address:** 9029 PATTON ST, DETROIT, MI 48228-1621
- **Practice address phone:** (866) 703-5586
- **Mailing address:** 9029 PATTON ST, DETROIT, MI 48228-1621
- **Mailing address phone:** (866) 703-5586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/10/2025
- **Last updated:** 03/10/2025