Gentle Care Support Services
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Detroit, MI. Organization (NPI-2).
NPI number1538038997
StatusActive
Last updated in NPPESNov 3, 2025
Details
- NPI
- 1538038997
- Entity type
- Organization (NPI-2)
- Legal business name
- Gentle Care Support Services
- Organization subpart
- No
- Enumeration date
- Nov 3, 2025
- Certification date
- Nov 3, 2025
- Last updated
- Nov 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 172V00000X | Community Health Worker | – | – |
Practice location
4800 Gray StDetroit, MI 48215-2043
Phone 313-516-0830 · Fax 313-499-8423
Mailing address
7428 Hartel StWestland, MI 48185-5556
Phone 313-516-0830
Authorized official
Willie Hurst
Owner
7343637073
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