| NPI | 1164384590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA JANEY BEY Owner/Provider 313-477-3299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 253J00000X Foster Care Agency | |
| 310400000X Assisted Living Facility | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-11-24 |
| Last Update Date | 2025-11-24 |