| NPI | 1063870293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARTIMA TUCKER CEO/Owner 313-303-7423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MI E79564) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251K00000X Public Health or Welfare (Licence: MI E79564) | |
| 253Z00000X In Home Supportive Care (Licence: MI E79564) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 302R00000X Health Maintenance Organization (Licence: MI E79564) | |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2023-03-24 |