Organization
LIFE BRIDGE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE NICOLE MCDANIEL JD (OWNER)
(248) 971-9005
Entity
Organization
Contact information
Practice address
24001 SOUTHFIELD RD STE 103, SOUTHFIELD, MI 48075-2800
(586) 991-1602
(734) 212-5084
Mailing address
PO BOX 867, SOUTHFIELD, MI 48037-0867
(248) 971-9005
(734) 212-5084
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
03/21/2026
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