| NPI | 1730858853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKITA RENAE MAMON Owner 313-424-7146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 372500000X Chore Provider |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2021-09-11 |
| Last Update Date | 2021-10-04 |