Organization
MIND OVER MATTER SENIOR LIVING LLC
Active
Parent organization
N/A
Other names
LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
N/A
Authorized official
DOMONIQUE LASHAWN ALFORD HOMECARE PROVIDER (C.E.O)
(586) 843-7189
Entity
Organization
Contact information
Practice address
23087 ALLIUM AVE, MACOMB, MI 48042-5699
(586) 843-7188
Mailing address
23087 ALLIUM AVE, MACOMB, MI 48042-5699
(586) 843-7188
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
822715959
MEDICARE
MA
05
—
822715959
—
MI
Enumeration date
10/17/2017
Last updated
11/03/2025
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