| NPI | 1144438920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FORDIA DOREEN MCCARTHER Owner 248-200-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: MI 4704149655) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |