| NPI | 1154099000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTA KALOUS VP 734-564-4073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management |
| Additional Taxonomies | 251E00000X Home Health |
| 225700000X Massage Therapist | |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2026-02-10 |