| NPI | 1053855916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MAE NICHOLSON Lmsw 248-842-0068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: MI 6801088993) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2025-02-28 |