| NPI | 1629958129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARILYN HACKNEY GOOLSBY Owner 313-727-3250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 177F00000X Lodging |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-10-06 |