| NPI | 1407686454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA SUE BOWEN Admin Manager 616-377-9236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |