| NPI | 1023870565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHANWA R LEE CEO 313-228-6472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251J00000X Nursing Care | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 302R00000X Health Maintenance Organization | |
| 305S00000X Point of Service | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-02-03 |