| NPI | 1851047484 |
|---|---|
| Doing Business As | POWER-SOURCE HOME HEALTH |
| Entity Type | Organization |
| Authorized Contact | MELVIN BRYANT Executive Director 313-770-7661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2022-02-22 |