| NPI | 1750909768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO D TILLERY CEO 517-703-3387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 174200000X |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 332U00000X Home Delivered Meals | |
| 335G00000X Medical Foods Supplier | |
| 344600000X Taxi | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |