| NPI | 1285939611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALLORIE B LEWIS President 313-977-0051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MI 0325305) |
| Additional Taxonomies | 251X00000X Supports Brokerage (Licence: MI 0325305) |
| 253Z00000X In Home Supportive Care (Licence: MI 0325305) | |
| Enumeration Date | 2011-01-15 |
| Last Update Date | 2011-01-15 |