Healthcare Provider Details

I. General information

NPI: 1528955184
Provider Name (Legal Business Name): HOUSE OF LOVE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2025
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 S MICHIGAN AVE
SAGINAW MI
48602-1528
US

IV. Provider business mailing address

720 S MICHIGAN AVE
SAGINAW MI
48602-1528
US

V. Phone/Fax

Practice location:
  • Phone: 989-401-1999
  • Fax:
Mailing address:
  • Phone: 989-401-1999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. ARNEESHIA BREWER BREWER
Title or Position: PRESIDENT/CEO
Credential:
Phone: 989-401-1999