NPI 1023405974

Lactation Village, LLC

Organisation In Home Supportive Care Agency Detroit, MI

Practice location

Address: 14210 Glenwood St, Detroit, MI 48205-2829
Phone: (313) 920-4914
Fax: (248) 809-9888

Authorised official

Name: Stacy Davis
Title: Executive Director/Ibclc
Phone: (313) 920-4914

Registered specialties

In Home Supportive Care Agency Primary

Agencies Taxonomy 253Z00000X Licence L-56572 (MI)

Other In Home Supportive Care providers in Michigan →

Registry record

NPI: 1023405974
Entity type: Organization
NPI issued: 17 Apr 2015
Record last updated: 17 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.