| NPI | 1467919688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: MI AM820079488) |
| Additional Taxonomies | 174200000X Meals (Licence: MI 1742000000X) |
| 177F00000X Lodging (Licence: MI 177F000000X) | |
| 251J00000X Nursing Care (Licence: MI 251J0000X) | |
| 251S00000X Community/Behavioral Health (Licence: MI 251S0000000X) | |
| 310500000X Intermediate Care Facility, Mental Illness (Licence: MI 3105000000X) | |
| 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: MI 315P000000X) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: MI 3439000000X) | |
| Enumeration Date | 2019-02-24 |
| Last Update Date | 2019-02-24 |