| NPI | 1649568726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA SHOR Owner 248-905-1626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MI D6229H) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MI D6229H) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |