| NPI | 1548733512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA DANIELLE WATERS Home Care Administration 810-233-0621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 174H00000X Health Educator | |
| 175T00000X Peer Specialist | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 3747A0650X Technician Attendant Care Provider | |
| 376K00000X Nurse's Aide | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |