| NPI | 1801398508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LASHA CHARLTON Owner/Admin 586-459-8679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |