| NPI | 1487341459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTIQUE LASEAN DORTCH Owner 313-870-8736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |