Organization
EMPOWERED LIVING SERVICES
Active
Other names
n/a
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL LESURE MSW (PRESIDENT)
(248) 850-6235
Entity
Organization
Contact information
Practice address
18100 MEYERS RD, DETROIT, MI 48235-1493
(248) 850-6235
Mailing address
18100 MEYERS RD, DETROIT, MI 48235-1493
(248) 850-6235
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000
N/A
—
Enumeration date
04/17/2019
Last updated
04/17/2019
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