| NPI | 1073781522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKO ADELE ANDERSON Owner/Manager 313-721-7076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: MI A536785031017) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |