| NPI | 1801357421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKISHA CLARK Owner 248-796-2587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 253J00000X Foster Care Agency | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |