| NPI | 1164253084 |
|---|---|
| Doing Business As | JEANETTE'S HOME LLC |
| Entity Type | Organization |
| Authorized Contact | KENYETTA DIXON Ower 313-516-9354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |