| NPI | 1639837487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN HOLLAWAY Financial Officer 248-914-1681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2021-11-29 |