| NPI | 1225301286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ROGER GRANDON Owner 248-890-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 225700000X Massage Therapist |
| 133N00000X Nutritionist | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2018-03-14 |