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Lay'S Management Company LLC

In Home Supportive Care in Detroit, MI. Organization (NPI-2).

NPI number1194445189
StatusActive
Last updated in NPPESDec 7, 2023

Details

NPI
1194445189
Entity type
Organization (NPI-2)
Legal business name
Lay'S Management Company LLC
Organization subpart
No
Enumeration date
Aug 30, 2022
Certification date
Dec 7, 2023
Last updated
Dec 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––

Practice location

3461 W Outer Dr
Detroit, MI 48221-1668

Phone 313-340-2425 · Fax 248-327-7981

Mailing address

18554 Capitol Dr
Southfield, MI 48075-2609

Phone 313-790-3322 · Fax 248-327-7981

Authorized official

Vanessa Lay
Provider/Director
3137903322

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