| NPI | 1619242013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORNA CHEATHAM Owner 734-777-3914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-04-04 |