| NPI | 1558172395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATIENCE IDEHEN OWOLABI Manager 313-704-3552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251J00000X Nursing Care | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 372500000X Chore Provider | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-01-20 |