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Organization

LEWIS MANOR HOMES, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ELLEN LEWIS (PRESIDENT)
(313) 268-5204
Entity
Organization

Contact information

Practice address
639 HAZELWOOD ST, DETROIT, MI 48202-1715
(313) 268-5204
(313) 861-0644
Mailing address
639 HAZELWOOD ST, DETROIT, MI 48202-1715
(313) 268-5204
(313) 861-0644

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
11/18/2025
Last updated
11/18/2025
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