| NPI | 1053088278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTA KALOUS VP 734-564-4073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2024-07-18 |