# GRATEFUL HEARTS HOMECARE

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

## Provider details

- **NPI number:** 1831914365
- **Authorized official:** SHANNON ENNIS (OWNER)
- **Authorized official phone:** (313) 505-3954

## Contact information

- **Practice address:** 18062 TEPPERT ST, DETROIT, MI 48234-3859
- **Practice address phone:** (248) 329-1055
- **Mailing address:** 18062 TEPPERT ST, DETROIT, MI 48234-3859
- **Mailing address phone:** (248) 329-1055

## Taxonomy

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

## Other

- **Enumeration date:** 11/19/2024
- **Last updated:** 11/19/2024