| NPI | 1003348145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHADONA LANG CEO 313-465-2125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS820316567) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |