# BODIE OF LOVE RESIDENT HOME CARE AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** home care provider
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619712593
- **Authorized official:** MRS. DEMETRIA YOUNG HOME CARE PROVIDER (EMPLOYEE)
- **Authorized official phone:** (313) 779-3293

## Contact information

- **Practice address:** 2216 MIDDLEBELT RD, WEST BLOOMFIELD, MI 48324-1837
- **Practice address phone:** (313) 779-3293
- **Mailing address:** 15237 FORRER ST, DETROIT, MI 48227-2312
- **Mailing address phone:** (313) 779-3293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/01/2024
- **Last updated:** 07/01/2024