| NPI | 1922467026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH GRANDON Owner 248-890-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |