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Organization

GRATEFUL HEARTS HOMECARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANNON ENNIS (OWNER)
(313) 505-3954
Entity
Organization

Contact information

Practice address
18062 TEPPERT ST, DETROIT, MI 48234-3859
(248) 329-1055
Mailing address
18062 TEPPERT ST, DETROIT, MI 48234-3859
(248) 329-1055

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
11/19/2024
Last updated
11/19/2024
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