Organization
AFFINITY BLOOM HEALTHCARE AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA IRENE BALDWIN (CEO)
(313) 566-3486
Entity
Organization
Contact information
Practice address
18570 GRAND RIVER AVE STE 100D, DETROIT, MI 48223-2201
(313) 566-3486
Mailing address
18570 GRAND RIVER AVE STE 100D, DETROIT, MI 48223-2201
(313) 566-3486
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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