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 |