NPI | 1972011369 |
---|---|
Entity Type | Organization |
Authorized Contact | LAJEAN PARTMON Owner 313-649-7102 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Additional Taxonomies | 251E00000X Home Health |
251K00000X Public Health or Welfare | |
253Z00000X In Home Supportive Care | |
Enumeration Date | 2018-01-19 |
Last Update Date | 2018-06-05 |