# J. LEWIS DEVELOPMENT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Four Seasons Housing & Care, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841851615
- **Authorized official:** DR. JAMITA RENAE LEWIS PHD (OWNER)
- **Authorized official phone:** (313) 647-2789

## Contact information

- **Practice address:** 12048 GRAND RIVER AVE, DETROIT, MI 48204-1836
- **Practice address phone:** (248) 416-8903
- **Practice address fax:** (248) 415-1518
- **Mailing address:** 27027 LINCOLNSHIRE DR, SOUTHFIELD, MI 48034-4706
- **Mailing address phone:** (313) 647-2789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 06/24/2019
- **Last updated:** 06/24/2019