# DOMESTIC LIFE SERVICES LLC

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

## Provider details

- **NPI number:** 1972104867
- **Authorized official:** ANGELIQUE N SETA (HOME HEALTH SERVICE PROVIDER)
- **Authorized official phone:** (313) 471-9913

## Contact information

- **Practice address:** 11662 HEYDEN ST, DETROIT, MI 48228-1047
- **Practice address phone:** (313) 471-9913
- **Mailing address:** 11662 HEYDEN ST, DETROIT, MI 48228-1047
- **Mailing address phone:** (313) 471-9913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/05/2020
- **Last updated:** 11/05/2020