Organization · NPI-2
Life Center, INC
Adult Companion · Livonia, MI
NPI number1114079068
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1114079068
- Entity type
- Organization (NPI-2)
- Legal business name
- Life Center, INC
- Organization subpart
- No
- Enumeration date
- Jan 18, 2007
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | – | MI | Yes |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | MI | |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | MI |
Practice location
15419 Middlebelt RdLivonia, MI 48154-3805
Phone 734-261-1094
Mailing address
15419 Middlebelt RdLivonia, MI 48154-3805
Phone 734-261-1094
Authorized official
Susan E Weller
Associate Director
7342611094
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