| NPI | 1609477157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAANDON WESLEY DAVIS Owner 313-213-6284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-04 |