| NPI | 1073223723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYANNA JACKSON Owner 313-324-2144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X |
| 251T00000X PACE Provider Organization | |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2022-12-02 |