| NPI | 1376329441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN FRANKLIN JONES Trustee 586-339-2517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 172A00000X Driver |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 171WH0202X Contractor Home Modifications | |
| 171WV0202X Contractor Vehicle Modifications | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 342000000X | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| 376J00000X Homemaker | |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |