| NPI | 1679388342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KISHAWNDRIA SHANTAA JONES-MINER Provider 734-552-4609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-04-24 |