Organization
BROOKHAVEN HOUSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCEIA LEWIS RN (OWNER)
(734) 674-2128
Entity
Organization
Contact information
Practice address
9372 PINEHURST ST, DETROIT, MI 48204-2658
(734) 674-2128
Mailing address
31749 HAZELWOOD ST, WESTLAND, MI 48186-8933
(313) 704-4207
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/18/2023
Last updated
06/22/2023
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