| NPI | 1659286821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIARA L CONWAY Owner 313-310-6890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2026-08-14 |
| Last Update Date | 2026-08-14 |