| NPI | 1568171304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANY MAGOCHA Owner 231-872-0665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2023-02-12 |