# PASSIONATE CAREGIVERS LLC

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

## Provider details

- **NPI number:** 1134698848
- **Authorized official:** CLARISSE CORTEZ (OWNER)
- **Authorized official phone:** (616) 893-3735

## Contact information

- **Practice address:** 508 FONTENELLE ST SE, GRAND RAPIDS, MI 49548-7317
- **Practice address phone:** (616) 893-3735
- **Mailing address:** 508 FONTENELLE ST SE, GRAND RAPIDS, MI 49548-7317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/26/2018
- **Last updated:** 11/26/2018
