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Organization

LOOK@FAITH INC. HOMECARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHANNON JACKSON (CEO)
(734) 890-0098
Entity
Organization

Contact information

Practice address
24209 NORTHWESTERN HWY STE 208, SOUTHFIELD, MI 48075-2570
(734) 444-4081
Mailing address
29488 WOODWARD AVE STE 458, ROYAL OAK, MI 48073-0903
(734) 890-0098

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8069701
MI
Enumeration date
05/15/2018
Last updated
08/19/2020
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