| NPI | 1467105015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA TINPAN Member 248-579-3119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X | |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-02 |