Organization
GENTLE CARE SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE HURST JR. (OWNER)
(734) 363-7073
Entity
Organization
Contact information
Practice address
4800 GRAY ST, DETROIT, MI 48215-2043
(313) 516-0830
(313) 499-8423
Mailing address
7428 HARTEL ST, WESTLAND, MI 48185-5556
(313) 516-0830
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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