Provider Demographics
NPI:1215341276
Name:ENRICHED LIFE HOME CARE SERVICES
Entity type:Organization
Organization Name:ENRICHED LIFE HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:MERRY
Authorized Official - Last Name:SLATTON
Authorized Official - Suffix:
Authorized Official - Credentials:CSCM
Authorized Official - Phone:734-744-6477
Mailing Address - Street 1:15223 FARMINGTON RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-5411
Mailing Address - Country:US
Mailing Address - Phone:734-744-6477
Mailing Address - Fax:734-437-1178
Practice Address - Street 1:15223 FARMINGTON RD
Practice Address - Street 2:SUITE 10
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-5411
Practice Address - Country:US
Practice Address - Phone:734-744-6477
Practice Address - Fax:734-437-1178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care