Provider Demographics
NPI:1316511074
Name:LULI CARE
Entity type:Organization
Organization Name:LULI CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:TEMITOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:OYEDEJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-266-4202
Mailing Address - Street 1:18701 GRAND RIVER AVE # 114
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48223-2214
Mailing Address - Country:US
Mailing Address - Phone:586-438-4556
Mailing Address - Fax:313-558-8821
Practice Address - Street 1:19207 HAWTHORNE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48203
Practice Address - Country:US
Practice Address - Phone:586-438-4556
Practice Address - Fax:313-558-8821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care