Organization
LORI'S SUPPORTIVE CARE SERVICES
Active
Other names
Lori's Supportive Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
LASTASIA CIERRA WOODS N/A (N/A)
(313) 308-5038
Entity
Organization
Contact information
Practice address
440 EUREKA RD STE F, WYANDOTTE, MI 48192-5842
(313) 308-5038
Mailing address
440 EUREKA RD STE F, WYANDOTTE, MI 48192-5842
(313) 308-5038
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7438533
CHORE PROVIDER ID
—
Enumeration date
02/03/2025
Last updated
05/09/2025
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