Organization
LURRANAH SAFE HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTIQUE LASEAN DORTCH LPN (OWNER)
(313) 870-8736
Entity
Organization
Contact information
Practice address
39449 DELLA ROSA DR, STERLING HEIGHTS, MI 48313-5227
(313) 870-8736
Mailing address
39449 DELLA ROSA DR, STERLING HEIGHTS, MI 48313-5227
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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