Organization
LEWIS INSURANCE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALLORIE B LEWIS NONE (PRESIDENT)
(313) 977-0051
Entity
Organization
Contact information
Practice address
8304 GRANDMONT RD, DETROIT, MI 48228-2288
(313) 977-0051
Mailing address
PO BOX 44234, DETROIT, MI 48244-0234
(313) 977-0051
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0325305
MI
251X00000X
Supports Brokerage Agency
0325305
MI
253Z00000X
In Home Supportive Care Agency
0325305
MI
Other
Enumeration date
01/15/2011
Last updated
01/15/2011
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