Individual provider · Type 1 NPI

Ellen Lewis

Adult Care Home Facility · Detroit, MI

NPI number 1326871849 Active

Practice location

1625 Webb St
Detroit, MI 48206-1349

Mailing address

PO Box 2369
Detroit, MI 48202-0369

Other practice locations

  • 639 Hazelwood St, Detroit, MI 48202-1715 · (313) 268-5204
  • 82 King St, Detroit, MI 48202-2127 · (313) 268-5204

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1326871849

Ellen Lewis's National Provider Identifier is 1326871849, issued on Aug 21, 2024. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Detroit, MI. The record was last updated on Aug 21, 2024.