| NPI | 1982742615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALAH S AGOUBI Administrator 586-997-2876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MI 23-7774) |
| Additional Taxonomies | 251E00000X Home Health (Licence: MI 5501011761) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2018-08-31 |