| NPI | 1952707622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINDELL DWAYNE FORD Ownr 313-482-7084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251J00000X Nursing Care |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2014-11-07 |