Organization
LAVISH HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE BRATHWAITE (OWNER)
(313) 719-2171
Entity
Organization
Contact information
Practice address
17421 EDINBOROUGH RD, DETROIT, MI 48219-3515
(313) 719-2171
Mailing address
17421 EDINBOROUGH RD, DETROIT, MI 48219-3515
(313) 719-2171
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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