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Organization

LAVISH LIVING HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMEKA LASHA HICKS (OWNER)
(313) 286-1409
Entity
Organization

Contact information

Practice address
10055 BEAVERLAND, DETROIT, MI 48239-1386
(313) 286-1409
Mailing address
10055 BEAVERLAND, DETROIT, MI 48239-1386
(313) 286-1409

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
MI

Other

Enumeration date
11/18/2014
Last updated
11/18/2014
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