Individual
MALINDA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19184 RUTHERFORD ST, DETROIT, MI 48235-2345
(313) 492-8566
Mailing address
1887 YOSEMITE BLVD, 23, BIRMINGHAM, MI 48009-6549
(313) 492-8566
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
MI
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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