| NPI | 1639398134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE A COTEY Director 906-387-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251E00000X Home Health |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2024-01-05 |