| NPI | 1629736087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFRAIN SEGOVIA Administrator/Owner 517-528-2498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2021-12-02 |