# NOLAN GREY HOME CARE AGENCY AND RESOURCE CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487180980
- **Authorized official:** ANITA R EDISON (OWNER/PRESIDENT)
- **Authorized official phone:** (313) 315-1526

## Contact information

- **Practice address:** 4119 19TH ST, ECORSE, MI 48229-1244
- **Practice address phone:** (313) 315-1526
- **Mailing address:** PO BOX 1165, LINCOLN PARK, MI 48146-1165
- **Mailing address phone:** (313) 315-1526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/04/2017
- **Last updated:** 05/04/2017