NPI | 1417257510 |
---|---|
Entity Type | Organization |
Authorized Contact | EVERETTE B. HAMBRIC President 313-570-3699 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: MI 4301057900) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301057900) |
Enumeration Date | 2010-10-25 |
Last Update Date | 2011-06-07 |