| NPI | 1174738983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL RENEE WALKER Administrator 313-864-9919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MI B30934) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2024-10-02 |