| NPI | 1992506521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELYSIA ADDISON Manager 248-701-8917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 385H00000X Respite Care | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-08-08 |