Organization
LIFE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN E WELLER (ASSOCIATE DIRECTOR)
(734) 261-1094
Entity
Organization
Contact information
Practice address
15419 MIDDLEBELT RD, LIVONIA, MI 48154-3805
(734) 261-1094
Mailing address
15419 MIDDLEBELT RD, LIVONIA, MI 48154-3805
(734) 261-1094
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
MI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
MI
372600000X
Adult Companion
Primary
—
MI
Other
Enumeration date
01/18/2007
Last updated
09/11/2025
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