# LOVING HEART HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104226786
- **Authorized official:** MS. DESHONNA LAFAY MARTIN I MA,CNA (HOME CARE ASSISTANT)
- **Authorized official phone:** (248) 228-0075

## Contact information

- **Practice address:** 12875 ARCHDALE, DETROIT, MI 48227
- **Practice address phone:** (248) 228-0075
- **Mailing address:** 12875 ARCHDALE ST, DETROIT, MI 48227-1265
- **Mailing address phone:** (248) 228-0075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/02/2014
- **Last updated:** 03/11/2024
