| NPI | 1215361480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN S LEWIS Administrator 313-243-4557 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-09-19 |