| NPI | 1497269765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH DWAYNE MOORE Owner/Business Manager 734-767-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2017-11-25 |
| Last Update Date | 2017-11-25 |