Healthcare Provider Details

I. General information

NPI: 1467069286
Provider Name (Legal Business Name): A LOVING TOUCH HOMECARE SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2020
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2751 E JEFFERSON AVE STE 400
DETROIT MI
48207-4105
US

IV. Provider business mailing address

2751 E JEFFERSON AVE STE 400
DETROIT MI
48207-4105
US

V. Phone/Fax

Practice location:
  • Phone: 313-784-7672
  • Fax: 313-356-7033
Mailing address:
  • Phone: 313-784-7672
  • Fax: 313-356-7033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JACQUELINE LYNN BRYAN-MCCOY
Title or Position: OWNER
Credential:
Phone: 313-784-7672