| NPI | 1295674398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L GOUGH Director 313-737-2017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 385H00000X Respite Care | |
| Enumeration Date | 2026-03-25 |
| Last Update Date | 2026-03-25 |