| NPI | 1134755903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON OVERMYER Co Owner 313-706-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347B00000X Bus | |
| 347C00000X Private Vehicle | |
| 174200000X Meals | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 305S00000X Point of Service | |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |