| NPI | 1356902092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN WILLIAMS Administrator 248-905-5295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2023-08-03 |