| NPI | 1043622970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA SMITH Administrator 313-205-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |