MRS. Leann Renee Gastelum, DIRECTOR

NPI #1699277004 in Detroit, Michigan

Provider Information

NPI Number: 1699277004
Entity Type: Individual
Name: MRS. Leann Renee Gastelum, DIRECTOR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Credential: DIRECTOR
Enumeration Date: Mar 1, 2018
Last Updated: Mar 1, 2018

Practice Location

Address: 19301 WINTHROP ST
City: Detroit
State: Michigan
ZIP Code: 48235
Phone: (702) 559-8224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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