Organization
LIFESAVERS SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICA WOODS (CEO)
(313) 779-5701
Entity
Organization
Contact information
Practice address
16631 SALEM ST, DETROIT, MI 48219-3697
(248) 600-6484
Mailing address
31132 N PARK DR, FARMINGTON HILLS, MI 48331-1450
(313) 779-5701
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251T00000X
PACE Provider Organization
—
—
311ZA0620X
Adult Care Home Facility
—
—
315D00000X
Inpatient Hospice
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2050X
Respite Care Camp
—
—
Other
Enumeration date
02/19/2025
Last updated
04/20/2026
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