| NPI | 1134891187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE NICOLE WARREN Member 734-678-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2050X Respite Care, Respite Care Camp | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2021-09-29 |