Healthcare Provider Details
I. General information
NPI: 1629992714
Provider Name (Legal Business Name): LEIGH QUALITY HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3734 MCKINLEY ST
DETROIT MI
48208-2349
US
IV. Provider business mailing address
3734 MCKINLEY ST
DETROIT MI
48208-2349
US
V. Phone/Fax
- Phone: 313-525-8257
- Fax:
- Phone: 313-525-8257
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TM1800X |
| Taxonomy | Intellectual & Developmental Disabilities Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
LEIGH
MINUNE
JAMES
Title or Position: CEO
Credential: JAMES
Phone: 313-525-8257