NPI | 1336732585 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERIE M TATUM Owner 313-412-2372 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
311Z00000X Custodial Care Facility | |
Enumeration Date | 2021-02-18 |
Last Update Date | 2021-04-22 |