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1154094423
DELORES HEAVENLY GATES
DETROIT, MI
NPI
1154094423
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Entity Type
Organization
Authorized Contact
TARA GHOLSON
Owner
313-598-2819
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2021-07-31
Last Update Date
2022-03-29
Business Address
DELORES HEAVENLY GATES
19974 GREENFIELD RD
DETROIT, MI 48235-1801
Phone number: 313-598-2819
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Mailing Address
DELORES HEAVENLY GATES
19974 GREENFIELD RD
DETROIT, MI 48235-1801
Phone number: 313-598-2819
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