| NPI | 1760111025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE MCCOLLUM Authorized Official 734-837-1048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2022-06-09 |