| NPI | 1730533878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANAIDA FERNANDEZ MADIAM Owner 269-646-0870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MI AF750379842) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |