| NPI | 1144866500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA KIMBALL Director 248-678-1713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |