Provider Demographics
NPI:1184041519
Name:LIFELONG ADVOCACY,INC
Entity Type:Organization
Organization Name:LIFELONG ADVOCACY,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:LENORE
Authorized Official - Last Name:BIELINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-846-2457
Mailing Address - Street 1:43970 N GRATIOT AVE
Mailing Address - Street 2:
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-1307
Mailing Address - Country:US
Mailing Address - Phone:586-846-2457
Mailing Address - Fax:586-846-2460
Practice Address - Street 1:43970 N GRATIOT AVE
Practice Address - Street 2:
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48036-1307
Practice Address - Country:US
Practice Address - Phone:586-846-2457
Practice Address - Fax:586-846-2460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-24
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable