| NPI | 1225585250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VACERA MAKIBA MACK Chief Administrative Officer 586-572-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MI E78238) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI E78238) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2018-08-23 |