Organization
GENTLE LEOPARD HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDRICK WILLIAM BROCKWAY (OWNER/CEP)
(231) 465-5030
Entity
Organization
Contact information
Practice address
18910 11 MILE RD, STANWOOD, MI 49346-9568
(231) 465-5030
Mailing address
18910 11 MILE RD, STANWOOD, MI 49346-9568
(231) 465-5030
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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