| NPI | 1578240057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN CARTER Business Manager 313-421-2544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2025-03-06 |