| NPI | 1053835736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYATTA LEGETTE Administrator 313-530-1161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH1000X Registered Nurse, Hospice (Licence: MI 4704275716) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health |
| 163WC2100X Registered Nurse, Continence Care | |
| 163WG0600X Registered Nurse, Gerontology | |
| 163WN1003X Registered Nurse, Nutrition Support | |
| 163WP0000X Registered Nurse, Pain Management | |
| 163WW0000X Registered Nurse, Wound Care (Licence: WI 11091605) | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 252Y00000X Early Intervention Provider Agency | |
| 372500000X Chore Provider | |
| 376K00000X Nurse's Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2025-09-11 |