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Organization
GABRIEL'S NEST SIL INC
Active
Organization
GABRIEL'S NEST SIL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERMAINE GABRIEL (PRESIDENT)
(248) 789-8769
Entity
Organization
Contact information
Practice address
20312 RUTHERFORD ST, DETROIT, MI 48235-2176
(248) 789-8769
(805) 299-4989
Mailing address
PO BOX 250275, WEST BLOOMFIELD, MI 48325-0275
(248) 789-8769
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
11/14/2017
Last updated
03/17/2018
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