| NPI | 1679394175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE ALLEN Agency Owner/Managing Employee 248-910-1985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2024-10-18 |