Provider Demographics
NPI:1528808409
Name:G.B. LOVING HOMECARE
Entity type:Organization
Organization Name:G.B. LOVING HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOMECARE MEDICAL ASST.
Authorized Official - Prefix:MS
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:DANILLE
Authorized Official - Last Name:BLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-699-3457
Mailing Address - Street 1:19811 SANTA BARBARA DR
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48221-1678
Mailing Address - Country:US
Mailing Address - Phone:313-699-3457
Mailing Address - Fax:
Practice Address - Street 1:19811 SANTA BARBARA DR
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221-1678
Practice Address - Country:US
Practice Address - Phone:313-699-3457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health