NPI | 1780365445 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNEDY M SHANNON CEO/ Atto RN Ey 313-587-0861 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
Enumeration Date | 2023-07-26 |
Last Update Date | 2023-07-26 |