| NPI | 1154219608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LERRLYN NELSON Dr./Owner 313-515-5380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 305S00000X Point of Service | |
| 332000000X MilitaryU.S. Coast Guard Pharmacy | |
| 332100000X Department of Veterans Affairs (VA) Pharmacy | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 253Z00000X In Home Supportive Care | |
| 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-07-13 |