| NPI | 1164384699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN SMITH Member 313-829-9659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2025-12-02 |
| Last Update Date | 2025-12-02 |