| Gentle Love Visiting Physicians Group Llc | |
|
2051 Rosa Parks Blvd Ste 1 B Detroit MI 48216-1556 | |
| (313) 962-5580 | |
| (313) 962-5588 |
| Full Name | Gentle Love Visiting Physicians Group Llc |
|---|---|
| Speciality | General Practice |
| Location | 2051 Rosa Parks Blvd, Detroit, Michigan |
| Authorized Official Name and Position | Tanisha Christina Burton (OWNER) |
| Authorized Official Contact | 3139625580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Love Visiting Physicians Group Llc 2051 Rosa Parks Blvd Ste 1 B Detroit MI 48216-1556 Ph: (313) 962-5580 | Gentle Love Visiting Physicians Group Llc 2051 Rosa Parks Blvd Ste 1 B Detroit MI 48216-1556 Ph: (313) 962-5580 |
| NPI Number | 1912106311 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 08/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912106311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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