| NPI | 1760357768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAFONTA HAYDEN Executive Director 586-980-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 172V00000X Community Health Worker | |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 251F00000X Home Infusion | |
| 251G00000X Hospice Care, Community Based | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 364SH0200X Clinical Nurse Specialist, Home Health | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2025-10-08 |