| NPI | 1861258881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA DENISE WIMBERLY Licensed Practical Nurse 734-747-0558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |