| NPI | 1336926690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHABAD AHMED Manager/Representative 734-664-1885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | |
| 252Y00000X Early Intervention Provider Agency | |
| 342000000X | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 372500000X Chore Provider | |
| 374U00000X Home Health Aide | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-11-07 |