| NPI | 1699067165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY L. THOMAS Director Of Clinical Services 888-759-4917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: MI 4704213153) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704213153) |
| 163WH0200X Registered Nurse, Home Health (Licence: MI 4704213153) | |
| 3747A0650X Technician, Attendant Care Provider (Licence: MI 4704213153) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: MI 4704213153) | |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2015-04-09 |