| NPI | 1790219525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CARLO V AGALO-OS Physical Therapist/Owner 734-239-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MI 5501011938) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |