Organization
LAVISH HEALTHCARE
Active
Parent organization
LAVISH HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAVISH HEALTHCARE
Authorized official
DIANE BRATHWAITE LPN (OWNER)
(313) 719-2171
Entity
Organization
Contact information
Practice address
20558 OAKFIELD ST, DETROIT, MI 48235-2149
(313) 719-2171
Mailing address
20558 OAKFIELD ST, DETROIT, MI 48235-2149
(313) 719-2171
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
06/16/2018
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