| NPI | 1376214437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QEYATA MCCOY Administrator 248-710-4393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251C00000X |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-11-26 |