NPI | 1780436691 |
---|---|
Doing Business As | FIVE STAR MEDICAL |
Entity Type | Organization |
Authorized Contact | KADEJAH DORENA COON CEO 313-407-2088 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 253J00000X Foster Care Agency |
253Z00000X In Home Supportive Care | |
310400000X Assisted Living Facility | |
Enumeration Date | 2024-04-03 |
Last Update Date | 2024-04-03 |