Organization
LASTING LOVE HOMECARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETISHA DAVIS (OWNER)
(810) 588-1178
Entity
Organization
Contact information
Practice address
12208 PINEHURST LN, GRAND BLANC, MI 48439-2633
(810) 588-1178
Mailing address
12208 PINEHURST LN, GRAND BLANC, MI 48439-2633
(810) 588-1178
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
315D00000X
Inpatient Hospice
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
06/07/2023
Last updated
01/25/2024
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