Organization
J. LEWIS DEVELOPMENT CORPORATION
Active
Other names
Four Seasons Housing & Care, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMITA RENAE LEWIS PHD (OWNER)
(313) 647-2789
Entity
Organization
Contact information
Practice address
12048 GRAND RIVER AVE, DETROIT, MI 48204-1836
(248) 416-8903
(248) 415-1518
Mailing address
27027 LINCOLNSHIRE DR, SOUTHFIELD, MI 48034-4706
(313) 647-2789
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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