| NPI | 1104417385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANNA DENISE TYE CEO 248-929-2930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 174200000X Meals |
| 251E00000X Home Health | |
| 385H00000X Respite Care | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-01-29 |