MEDICARE: GENTLE FEELINGS IN HOME IN CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1760070478
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE FEELINGS IN HOME IN CARE

Provider Business Mailing Address
First Line	:	18251 WASHBURN ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48221-1927
Country	:	US
Telephone Number	:	248-252-0092
Fax Number	:

Provider Business Practice Location Address
First Line	:	18251 WASHBURN ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48221-1927
Country	:	US
Telephone Number	:	248-252-0092
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHEKELA CARLISLE
Credential	:
Telephone Number	:	248-252-0092

Provider Enumeration Date	:	01/07/2021
Last Update Date	:	01/07/2021

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Directions to “GENTLE FEELINGS IN HOME IN CARE ” Practice Location

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