Healthcare Provider Details

I. General information

NPI: 1477092534
Provider Name (Legal Business Name): LOVING ARMS HOME HELP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2017
Last Update Date: 02/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25121 FORD RD STE 10
DEARBORN MI
48128-1058
US

IV. Provider business mailing address

25121 FORD RD # 10
DEARBORN MI
48128-1058
US

V. Phone/Fax

Practice location:
  • Phone: 313-558-9178
  • Fax: 313-558-9179
Mailing address:
  • Phone: 313-720-1122
  • Fax: 313-559-9179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number StateMI

VIII. Authorized Official

Name: VERONICA DIANA OSBURN
Title or Position: OWNER
Credential: SOCIAL WORKER
Phone: 313-720-1122