Organization
NEW KEYS TO LIFE SPECIALIZE CARE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHAWN DAVIS (DIRECTOR)
(313) 422-5183
Entity
Organization
Contact information
Practice address
115 LAKE VILLAGE BLVD, DEARBORN, MI 48120-1665
(313) 422-5183
Mailing address
115 LAKE VILLAGE BLVD, DEARBORN, MI 48120-1665
(313) 422-5183
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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