| NPI | 1902672264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SHACQUEL DEAN CEO 269-569-6264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2024-05-07 |