| NPI | 1184788150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA FOMUM-TIBAH Owner 586-498-8435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2022-07-21 |