# LIFE & DESTINY BUILDERS

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

## Provider details

- **NPI number:** 1821307620
- **Authorized official:** DOREEN I BETHEL (/OWNER/CEO)
- **Authorized official phone:** (248) 721-1526

## Contact information

- **Practice address:** 19400 JOY RD, DETROIT, MI 48228-3035
- **Practice address phone:** (248) 721-1526
- **Mailing address:** 29460 STELLAMAR DR, SOUTHFIELD, MI 48076-5272
- **Mailing address phone:** (248) 721-1526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/28/2010
- **Last updated:** 09/28/2010