| NPI | 1235900226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENITA OLIVER Trustee 313-303-3807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 174200000X |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 342000000X Transportation Network Company | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |