| NPI | 1295517928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANESHA SMITH Director 313-208-1685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-11-15 |