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1326871849
ELLEN LEWIS
DETROIT, MI
NPI
1326871849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2024-08-21
Last Update Date
2024-08-21
Business Address
-- ELLEN LEWIS
1625 WEBB ST
DETROIT, MI 48206-1349
Phone number: 313-268-5204
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Mailing Address
-- ELLEN LEWIS
PO BOX 2369
DETROIT, MI 48202-0369
Phone number: 313-268-5204
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