| NPI | 1356958649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY DELA PENA MANANSALA Administrator 248-722-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |