| NPI | 1336740307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNIE TYLER Owner 616-334-0686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 372600000X Adult Companion |
| 103TA0700X Psychologist, Adult Development & Aging | |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2022-07-29 |