| NPI | 1295428258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY L FESTUS Owner 313-888-5097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-05-26 |