NPI | 1245695576 |
---|---|
Entity Type | Organization |
Authorized Contact | PHYLLIS HILL CEO/President 810-620-6706 |
Organization Subpart ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse |
Additional Taxonomies | 133N00000X Nutritionist |
Enumeration Date | 2015-12-31 |
Last Update Date | 2015-12-31 |