Organization
HUMBLE HEARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY M HASSAN (PROVIDER)
(313) 258-3700
Entity
Organization
Contact information
Practice address
11942 ROSSITER ST, DETROIT, MI 48224-1107
(313) 258-3700
Mailing address
11942 ROSSITER ST, DETROIT, MI 48224-1107
(313) 258-3700
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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