| NPI | 1811298854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE JOSEPH Administrator 248-823-8772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704220571) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501014058) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2010-11-08 |