| NPI | 1679348320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROVENIE MAZE Member 313-952-6969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2023-11-21 |