| NPI | 1720779192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAQUOYA JACKSON Owner 810-406-9536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-05-17 |