# GENTLE LOVE HOME SERVICES

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

## Provider details

- **NPI number:** 1194042150
- **Authorized official:** MS. TANISHA BURTON (CEO)
- **Authorized official phone:** (313) 739-3352

## Contact information

- **Practice address:** 19940 CONANT ST, SUITE A, DETROIT, MI 48234-1335
- **Practice address phone:** (313) 739-3352
- **Mailing address:** 19940 CONANT ST, SUITE A, DETROIT, MI 48234-1335
- **Mailing address phone:** (313) 739-3352

## Taxonomy

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

## Other

- **Enumeration date:** 04/29/2010
- **Last updated:** 04/29/2010