Brookhaven Housing LLC
Home Health in Detroit, MI. Organization (NPI-2).
NPI number1457047839
StatusActive
Last updated in NPPESJun 22, 2023
Details
- NPI
- 1457047839
- Entity type
- Organization (NPI-2)
- Legal business name
- Brookhaven Housing LLC
- Organization subpart
- No
- Enumeration date
- Apr 18, 2023
- Certification date
- Jun 22, 2023
- Last updated
- Jun 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 251J00000X | Nursing Care | – | – | |
| 253Z00000X | In Home Supportive Care | – | – |
Practice location
9372 Pinehurst StDetroit, MI 48204-2658
Phone 734-674-2128
Mailing address
31749 Hazelwood StWestland, MI 48186-8933
Phone 313-704-4207
Authorized official
Marceia Lewis
Owner
7346742128
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