Organization
GENTLE CARE HOME HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERCEDES TEODORO R.N. (ADMINISTRATOR)
(734) 243-3134
Entity
Organization
Contact information
Practice address
15305 DIX TOLEDO RD, SOUTHGATE, MI 48195-2693
(734) 246-3134
(734) 246-3641
Mailing address
15305 DIX TOLEDO RD, SOUTHGATE, MI 48195-2693
(734) 246-3134
(734) 246-3641
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
237470
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E934
BLUE CROSS BLUE SHIELD
MI
05
—
4451485
—
MI
Enumeration date
01/16/2007
Last updated
08/22/2020
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