Organization
SPECTRA HOMECARE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAKITA RENAE MAMON (OWNER)
(313) 424-7146
Entity
Organization
Contact information
Practice address
14424 SOUTHFIELD FWY, DETROIT, MI 48223-3587
(313) 424-7146
Mailing address
14424 SOUTHFIELD FWY, DETROIT, MI 48223-3587
(313) 424-7146
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
09/11/2021
Last updated
10/04/2021
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