| NPI | 1194393496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSSANAH TAKANG TABOT Administrator 734-846-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2021-06-14 |