| NPI | 1285860577 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | GREGORY JOHN SUBASTIAN President 586-504-4480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: MI 0000000065) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |