Organization
LIFTING STAR'S COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESHONA WRIGHT (CEO)
(313) 454-7736
Entity
Organization
Contact information
Practice address
7904 MEAD ST, DEARBORN, MI 48126-1067
(313) 454-7736
Mailing address
7904 MEAD ST, DEARBORN, MI 48126-1067
(313) 454-7736
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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