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Lora Jean Davis, ARDMS,AFC
Adult Care Home Facility in Dearborn, Michigan
NPI 1255970430

Lora Jean Davis is an Adult Care Home Facility based in Southfield, MI and is specialized in Adult Care Home. Lora Jean Davis practices in Dearborn, MI and has the professional credentials of ARDMS,AFC. The NPI Number for Lora Jean Davis is 1255970430 and holds a License No. (Michigan).

The current practice location address for Lora Jean Davis is 3307 Houston St, Dearborn, MI and can be reached out via phone at 313-278-2805 and via fax at 313-278-5243. You can also correspond with Lora Jean Davis through the mailing address at PO BOX 2977, SOUTHFIELD, MI - 48037-2977 (mailing address contact number: 313-590-9139).

Location: 3307 Houston St, Dearborn, MI, 48037-2977
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255970430
Provider Name
Lora Jean Davis
Credential
ARDMS,AFC
Provider Entity Type
Individual
Gender
Female
Address
3307 Houston St, Dearborn, MI, 48037-2977
Phone Number
313-278-2805
Fax Number
313-278-5243
Provider Enumeration Date
01/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3307 Houston St
City
Dearborn
State
Michigan
Zip
48124-4159
Phone Number
313-278-2805
Fax Number
313-278-5243
person
Provider Business Mailing Address Details
Address
Po Box 2977
City
Southfield
State
Michigan
Zip
48037-2977
Phone Number
313-590-9139
Fax Number
313-278-5243
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
(Michigan)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
(Michigan)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
(Michigan)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(Michigan)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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