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Organization

GEPPETTO'S HEART

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELVIE TORA BERKERY (DIRECTOR)
(313) 595-5772
Entity
Organization

Contact information

Practice address
24555 SOUTHFIELD RD STE 100, SOUTHFIELD, MI 48075-2788
(248) 809-3795
(248) 327-4286
Mailing address
24555 SOUTHFIELD RD STE 100, SOUTHFIELD, MI 48075-2788
(248) 809-3795
(248) 327-4286

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
02/28/2020
Last updated
02/28/2020
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