# GEPPETTO'S HEART

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

## Provider details

- **NPI number:** 1689208605
- **Authorized official:** MELVIE TORA BERKERY (DIRECTOR)
- **Authorized official phone:** (313) 595-5772

## Contact information

- **Practice address:** 24555 SOUTHFIELD RD STE 100, SOUTHFIELD, MI 48075-2788
- **Practice address phone:** (248) 809-3795
- **Practice address fax:** (248) 327-4286
- **Mailing address:** 24555 SOUTHFIELD RD STE 100, SOUTHFIELD, MI 48075-2788
- **Mailing address phone:** (248) 809-3795
- **Mailing address fax:** (248) 327-4286

## Taxonomy

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

## Other

- **Enumeration date:** 02/28/2020
- **Last updated:** 02/28/2020