| NPI | 1518236041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A CLENNON President 586-823-8488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: AL 123456) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: AL 123456) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |