Provider Demographics
NPI:1831903459
Name:A LIFE HEALING AGENCY, INC.
Entity type:Organization
Organization Name:A LIFE HEALING AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:S
Authorized Official - Last Name:DRAKE-LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:CHW
Authorized Official - Phone:586-746-4469
Mailing Address - Street 1:148 S MAIN ST STE 103B
Mailing Address - Street 2:
Mailing Address - City:MOUNT CLEMENS
Mailing Address - State:MI
Mailing Address - Zip Code:48043-7914
Mailing Address - Country:US
Mailing Address - Phone:586-746-4469
Mailing Address - Fax:
Practice Address - Street 1:23015 SHAKESPEARE AVE
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-1717
Practice Address - Country:US
Practice Address - Phone:586-500-2561
Practice Address - Fax:586-846-2462
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANOINTED LIFE HEALING MINISTRY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging
No171400000XOther Service ProvidersHealth & Wellness Coach
No174200000XOther Service ProvidersMeals
No251S00000XAgenciesCommunity/Behavioral Health
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No251V00000XAgenciesVoluntary or Charitable
No253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities