MEDICARE: LATINO FAMILY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency		MI
2	251C00000X	Developmentally Disabled Services Day Training Agency		MI

General Provider Information

NPI Number	:	1437167764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LATINO FAMILY SERVICES

Provider Business Mailing Address
First Line	:	3815 W FORT ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48216-1652
Country	:	US
Telephone Number	:	313-841-7380
Fax Number	:	313-841-3730

Provider Business Practice Location Address
First Line	:	3815 W EST FORT STREET
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48216-1652
Country	:	US
Telephone Number	:	313-841-7380
Fax Number	:	313-841-3730

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MS. ALICIA VILLARREAL
Credential	:
Telephone Number	:	313-841-7380

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	09/11/2025

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3815 W FORT ST
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Directions to “LATINO FAMILY SERVICES ” Practice Location

Language	Start Address	Practice Location

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