Organization
SALVATION ARMY HARBOR LIGHT
Active
Parent organization
SALVATION ARMY HARBOR LIGHT
Other names
Medical Respite
Organization subpart
Yes
Provider details
NPI number
Legal business name
SALVATION ARMY HARBOR LIGHT
Authorized official
MICHELLE GATES (QUALITY ASSURANCE)
(313) 361-6136
Entity
Organization
Contact information
Practice address
3737 LAWTON ST, DETROIT, MI 48208-2500
(313) 361-6136
(313) 361-6210
Mailing address
3737 LAWTON ST, DETROIT, MI 48208-2500
(313) 361-6136
(313) 361-6210
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0272428
—
MI
Enumeration date
05/01/2019
Last updated
12/04/2025
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