| NPI | 1740751346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRI D MEDVED Owner 248-421-7633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251J00000X Nursing Care | |
| 261QP2300X Clinic/Center, Primary Care | |
| 305R00000X Preferred Provider Organization | |
| Enumeration Date | 2018-12-08 |
| Last Update Date | 2019-01-15 |