| NPI | 1932562857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKESHIA BROWN Program Director 248-795-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2022-05-20 |