| NPI | 1326622663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCINDA PRYOR Owner 313-740-5358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-05-26 |