| NPI | 1023405974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY DAVIS Executive Director/Ibclc 313-920-4914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MI L-56572) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |