| NPI | 1851917538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY RENFROE Executive Assistant 313-753-5258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |