| NPI | 1902629439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANNIE ODAMS Administrator/Owner 734-521-1577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WH0200X Registered Nurse Home Health | |
| 163WW0000X Registered Nurse Wound Care | |
| 164W00000X Licensed Practical Nurse | |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 332U00000X Home Delivered Meals | |
| 347C00000X Private Vehicle | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-13 |