SALVATION ARMY-HARBOR LIGHT NPI 1104645613

NPI Information

  • NPI: 1104645613
  • Provider Name: SALVATION ARMY-HARBOR LIGHT
  • Classification: Respite Care - 385H00000X
  • Entity Type: Organization
  • Other Name: SALVATION ARMY HARBOR LIGHT
  • Address: 3737 LAWTON ST
    DETROIT, MI
    ZIP 48208
  • Phone: (313) 361-6163

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NPI Details

SALVATION ARMY-HARBOR LIGHT is a respite care in Detroit, MI. SALVATION ARMY-HARBOR LIGHT NPI is 1104645613. The provider is registered as an organization entity type.
The provider Other Name Is Salvation Army Harbor Light.

The provider's business location address is:

3737 LAWTON ST
DETROIT, MI
ZIP 48208-500
Phone: (313) 361-6163
Fax: (313) 361-6210

The provider's authorized official is Michelle Gates .
The authorized official title is Quality Assurance and has the following contact phone number (313) 361-6136.

The enumeration date for this NPI number is 10/10/2024 and was last updated on 10/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1177F00000XLodgingNo
2251B00000XCase ManagementNo
3385H00000XRespite CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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