Organization
A LIFE AT HOME LLC.
Active
Other names
Comfort Keepers #756
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS VICTOR BEAMGARD (PRESIDENT/OWNER)
(248) 504-4974
Entity
Organization
Contact information
Practice address
4115 ORCHARD LAKE RD, ORCHARD LAKE, MI 48323-1641
(248) 504-4974
(248) 419-5105
Mailing address
4115 ORCHARD LAKE RD, ORCHARD LAKE, MI 48323-1641
(248) 504-4974
(248) 419-5105
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
NA - NON MEDICAL
MI
347C00000X
Private Vehicle
B526149847888
MI
385H00000X
Respite Care
NA - NON MEDICAL
MI
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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