| NPI | 1184263964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA PERNELL-HARRIS Executive Director 248-217-0367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |