| NPI | 1740932151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURRETTA SHIELDS Owner 810-962-6196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-01-26 |