| NPI | 1477841088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEAUNDRA J CHILDRESS Owner 248-269-3943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2011-07-16 |
| Last Update Date | 2011-07-16 |