| NPI | 1346723608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKAEL GIBRAEL Member 248-228-7664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2023-09-11 |