SALVATION ARMY HARBOR LIGHT; NPI #1225692619

Contact Information

SALVATION ARMY HARBOR LIGHT

3737 LAWTON ST
DETROIT, MI 48208-2500

Phone: 313-361-6136
Fax: 313-361-6210
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Respite Care	385H00000X
Case Management	251B00000X
Lodging	177F00000X
Supports Brokerage	251X00000X

Indicates primary specialty

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NPI Profile & details for SALVATION ARMY HARBOR LIGHT

NPI # 1225692619

LBN Legal business name SALVATION ARMY HARBOR LIGHT

Authorized official MICHELLE GATES - (QUALITY ASSURANCE)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 05/01/2019

Last updated 12/04/2025 - About 6 months ago

Identifiers

Medicaid

0272428

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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