# GENTLE SOULS HOME CARE, LLC

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

## Provider details

- **NPI number:** 1801320072
- **Authorized official:** EBONNIE JONES (ADMINISTRATOR)
- **Authorized official phone:** (231) 383-8230

## Contact information

- **Practice address:** 2743 HENRY STREET PMB \#117, MUSKEGON, MI 49441
- **Practice address phone:** (231) 383-8230
- **Mailing address:** 2743 HENRY STREET PMB \#117, MUSKEGON, MI 49441
- **Mailing address phone:** (231) 383-8230

## Taxonomy

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

## Other

- **Enumeration date:** 04/14/2017
- **Last updated:** 04/14/2017