| NPI | 1396445516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENITA NICOLE OLIVER Trustee 313-303-3807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 171W00000X Contractor |
| 171WH0202X Contractor Home Modifications | |
| 171WV0202X Contractor Vehicle Modifications | |
| 172A00000X Driver | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251X00000X Supports Brokerage | |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 3747A0650X Technician Attendant Care Provider | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-07 |