| NPI | 1003448663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH KILLIANS Administrator 313-213-0924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 372500000X Chore Provider |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |