| NPI | 1437026069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY M HASSAN Provider 313-258-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-20 |