Healthcare Provider Details

I. General information

NPI: 1407729726
Provider Name (Legal Business Name): LIFE AIDE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3470 LA SALLE DR
ANN ARBOR MI
48108-1990
US

IV. Provider business mailing address

1386 KING GEORGE BLVD
ANN ARBOR MI
48104-6959
US

V. Phone/Fax

Practice location:
  • Phone: 764-657-5156
  • Fax:
Mailing address:
  • Phone: 734-657-5156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name: ANN WALDROP
Title or Position: OWNER
Credential:
Phone: 734-657-5156