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Organization
LIFE SAVER WINGS
Active
Organization
LIFE SAVER WINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAJAUNA HENDRICKS RN (NURSE)
(248) 455-9770
Entity
Organization
Contact information
Practice address
17135 ANNCHESTER RD, DETROIT, MI 48219-3525
(248) 455-9770
Mailing address
17135 ANNCHESTER RD, DETROIT, MI 48219-3525
(248) 455-9770
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
—
NULL
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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