Salvation Army-Harbor Light

LBN: Salvation Army-Harbor Light
Salvation Army-Harbor Light is an health care organization with primary practice located at 3737 Lawton St , Detroit MI 48208-2500. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Ambulatory Health Care Facilities / Recovery Care, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Respite Care Facility / Respite Care. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Salvation Army-Harbor Light can be contacted via phone (313) 361-6136, or through Gates, Michelle via phone (313) 361-6136.

Contact Information

Primary practice address
3737 Lawton St Detroit MI 48208-2500
Phone: (313) 361-6136
Fax: (313) 361-6210
Website:
Map and Directions
Authorized official contact:
Name: Gates, Michelle
Phone: (313) 361-6136

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Ambulatory Health Care Facilities / Recovery Care 261QR0800X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 4301061866 Michigan
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1811094998
LBN Legal business name Salvation Army-Harbor Light
DBA Doing business as
Authorized official Gates, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Oct 10th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811094998 NPPES
Michigan MEDICAID 4701194

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