| NPI | 1104226786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHONNA LAFAY MARTIN Home Care Assistant 248-228-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2024-03-11 |