Provider Demographics
NPI:1013123637
Name:L&L ADULT DAY CARE INC.
Entity Type:Organization
Organization Name:L&L ADULT DAY CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEVOUGHN
Authorized Official - Middle Name:TERESE
Authorized Official - Last Name:LENTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-366-1100
Mailing Address - Street 1:1485 E OUTER DR
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48234-1265
Mailing Address - Country:US
Mailing Address - Phone:313-366-1100
Mailing Address - Fax:313-366-5190
Practice Address - Street 1:1485 E OUTER DR
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48234-1265
Practice Address - Country:US
Practice Address - Phone:313-366-1100
Practice Address - Fax:313-366-5190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services