| NPI | 1780649822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JOHNSON Director, Central Billing Office 248-680-8206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine |
| 163WH1000X Registered Nurse Hospice | |
| 163WM0102X Registered Nurse Maternal Newborn | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2016-08-25 |