| NPI | 1205029980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE MONIQUE JOHNSON Physical Therapist 517-899-6369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MI D21187) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2008-05-18 |