| NPI | 1568097459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKEA JENKINS Adminstrator 313-657-4610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 2472E0500X |
| 372500000X Chore Provider | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |