| NPI | 1619712593 |
|---|---|
| Doing Business As | HOME CARE PROVIDER |
| Entity Type | Organization |
| Authorized Contact | DEMETRIA YOUNG Employee 313-779-3293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |