| NPI | 1336699115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMARKIS LEE SMITH Authorized Official 810-577-5066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: AZ 11818PT) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2018-03-17 |