| NPI | 1912679804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENICE UGENNIE BLAKE-MCGIBBON Registered Nurse 248-819-9532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2021-09-29 |