| NPI | 1790075240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY LARAINE GREEN Owner 313-953-4388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2011-04-18 |