| NPI | 1669002994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA P ROGERS Owner 248-802-1619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QP2300X Clinic/Center, Primary Care | |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-01-26 |
| Last Update Date | 2020-01-27 |