Healthcare Provider Details

I. General information

NPI: 1841487360
Provider Name (Legal Business Name): LUFAIM, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2007
Last Update Date: 09/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2940 TANGLEWOOD DR
WAYNE MI
48184-2815
US

IV. Provider business mailing address

35169 E MICHIGAN AVE #148
WAYNE MI
48184-1660
US

V. Phone/Fax

Practice location:
  • Phone: 734-238-0590
  • Fax: 734-238-0599
Mailing address:
  • Phone: 734-238-0590
  • Fax: 734-238-0599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. AISHA KINDA MILLER
Title or Position: PRESIDENT
Credential:
Phone: 734-238-0590