| NPI | 1952868861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUANNA NONE WOODHULL President 313-914-5179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 174200000X |
| 251B00000X Case Management | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |