| NPI | 1578845095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEOPHILUS EBOSI CEO 517-974-9012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251T00000X PACE Provider Organization |
| 253J00000X Foster Care Agency | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2011-09-10 |
| Last Update Date | 2011-09-10 |