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Organization

LEVADEH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAVETA DAVENPORT (DIRECTOR)
(586) 565-1188
Entity
Organization

Contact information

Practice address
19224 BLOOM ST, DETROIT, MI 48234-2475
(586) 565-1188
Mailing address
19224 BLOOM ST, DETROIT, MI 48234-2475

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
174N00000X
Lactation Consultant (Non-RN)
175M00000X
Lay Midwife
374J00000X
Doula
Primary

Other

Enumeration date
03/16/2026
Last updated
03/16/2026
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