| NPI | 1013888767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC GRAHAM Director Of Operations 734-828-4723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 311Z00000X Custodial Care Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2025-09-16 |