| NPI | 1174299630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH G LYLE Owner 810-449-5187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343800000X Secured Medical Transport (VAN) | |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2023-03-07 |