| NPI | 1750836664 |
|---|---|
| Doing Business As | RESIDENTIAL PALLIATIVE CARE |
| Entity Type | Organization |
| Authorized Contact | JUSTIN DEWITTE President 248-283-8839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2019-02-26 |