| NPI | 1669244711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MCKISSIC Owner 517-377-6844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 172A00000X Driver |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |