Individual
ELLEN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 WEBB ST, DETROIT, MI 48206-1349
(313) 268-5204
Mailing address
PO BOX 2369, DETROIT, MI 48202-0369
(313) 268-5204
(313) 861-0644
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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