National Provider Identifier Database

SALVATION ARMY HARBOR LIGHT
Respite Care


Contact Information

SALVATION ARMY HARBOR LIGHT
3737 LAWTON ST
DETROIT, MI48208-2500
Phone: 313-361-6136
Fax: 313-361-6210
Website:
Specialty Taxonomy Code
* Respite Care 385H00000X
Case Management 251B00000X
Lodging 177F00000X
Supports Brokerage 251X00000X

* Indicates primary specialty

NPI Profile & details for SALVATION ARMY HARBOR LIGHT

NPI Number 1225692619
Legal business name
LBN
SALVATION ARMY HARBOR LIGHT
Authorized official MICHELLE GATES - (QUALITY ASSURANCE)
Entity Organization
Organization subpart Yes
Enumeration date 05/01/2019
Last updated 12/04/2025 - About 6 months ago
Sole proprietor1 Not specified
Identifiers
  • MI Medicaid: 0272428

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for SALVATION ARMY HARBOR LIGHT

There are currently no reviews for SALVATION ARMY HARBOR LIGHT


NPIdb - Home
v2.201