Organization
WHOLE LIFE INTEGRATED RECOVERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAKIYA MOORE LPN (DIRECTOR OF OPERATIONS)
(313) 487-5246
Entity
Organization
Contact information
Practice address
43 W AUBURN ST, ECORSE, MI 48229-1803
(313) 487-5246
Mailing address
43 W AUBURN ST, ECORSE, MI 48229-1803
(313) 487-5246
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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