Organization
1 LIFE CHANGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHAWN DAVIS (OWNER)
(248) 506-4586
Entity
Organization
Contact information
Practice address
440 BURROUGHS ST STE 604, DETROIT, MI 48202-3473
(248) 785-8669
(855) 746-3274
Mailing address
440 BURROUGHS ST STE 604, DETROIT, MI 48202-3473
(248) 785-8669
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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