| NPI | 1699458216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISIAH ANDREW GRAY Owner/Rbt 989-553-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-08-11 |