| NPI | 1396439808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETISHA DAVIS Owner 810-588-1178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 315D00000X Hospice, Inpatient | |
| 385H00000X Respite Care | |
| 385HR2050X Respite Care, Respite Care Camp | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2024-01-25 |