# GENTLE LOVE VISITING PHYSICIANS GROUP LLC

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

## Provider details

- **NPI number:** 1912106311
- **Authorized official:** MRS. TANISHA CHRISTINA BURTON (OWNER)
- **Authorized official phone:** (313) 962-5580

## Contact information

- **Practice address:** 2051 ROSA PARKS BLVD, STE 1 B, DETROIT, MI 48216-1556
- **Practice address phone:** (313) 962-5580
- **Practice address fax:** (313) 962-5588
- **Mailing address:** 2051 ROSA PARKS BLVD, STE 1 B, DETROIT, MI 48216-1556
- **Mailing address phone:** (313) 962-5580
- **Mailing address fax:** (313) 962-5588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2007
- **Last updated:** 08/13/2007