| NPI | 1972942423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA TANYA-JACKNOW SHREVE Staff Nurse 248-456-8150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: MI 4704150668) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |