Organization
GRAVITY REVERZED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOYINA MALIK BAZEMORE (OWNER)
(586) 569-9147
Entity
Organization
Contact information
Practice address
30502 SANDHURST, BLDG-5 APT-102, ROSEVILLE, MI 48066
(586) 569-9147
Mailing address
30502 SANDHURST, BLDG-5 APT-102, ROSEVILLE, MI 48066
(586) 569-9147
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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