| NPI | 1245948173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY L GOFORTH Owner 517-861-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |