| NPI | 1356902092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN WILLIAMS Administrator 248-905-5295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2024-11-13 |