| NPI | 1114678984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE SHANTRELL TAYLOR Owner 313-353-7455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251S00000X | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-01-13 |