LAKERIDGE VILLAGE
Residential Treatment Facilities at Fairfield St, Detroit, MI

License number
Michigan 822985
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
Owner
Name: MR. ELDER EDDIE C WILLIAMS JR. PASTOR
Title: CEO
Phone: (313) 345-4310
Address
Address
15941 Fairfield St, Detroit, MI 48238
National Provider ID: 1144469461
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LAKERIDGE VILLAGE at bizstanding.com

LAKERIDGE VILLAGE, INC

Detroit, MI

Registration:
Aug 23, 2006
Addresses:
15941 Fairfield, Detroit, MI 48238 (Physical)
Michigan (Mailing)
State ID:
800853
Business type:
Domestic Nonprofit Corporation
Agent:
Eddie Williams

Lakeridge Village Incorporation

15941 Fairfield St, Detroit, MI 48238

Industry:
Transitional Housing & Drug Counseling
Executive Directors:
Lavern Williams (Executive Director),Laverne Williams Executive Director, inactive

Residential Treatment Facilities licenses in Michigan










Other Doctors licenses in Michigan