Healthcare Provider Details

I. General information

NPI: 1508797937
Provider Name (Legal Business Name): GIVING GRACE COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21700 WHITMORE ST
OAK PARK MI
48237-3520
US

IV. Provider business mailing address

21700 WHITMORE ST
OAK PARK MI
48237-3520
US

V. Phone/Fax

Practice location:
  • Phone: 248-300-8299
  • Fax:
Mailing address:
  • Phone: 248-300-8299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: INEKA BELL
Title or Position: COMMUNITY HEALTH WORKER
Credential: CHW
Phone: 248-300-8299