| NPI | 1275940231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY MARILYLN MYKALA Administrator 517-768-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MI 2058229) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-10-13 |