| NPI | 1346900248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASIL EREBHOLO Manager 517-512-2994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |