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 Meals |
251B00000X Case Management | |
251J00000X Nursing Care | |
253Z00000X In Home Supportive Care | |
Enumeration Date | 2019-02-27 |
Last Update Date | 2019-02-27 |