| NPI | 1033863832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE JACKSON Owner 313-743-7295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 174200000X |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 305S00000X Point of Service | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-09 |