| NPI | 1003657487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEREE SLACK Owner 313-283-2118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2024-06-01 |
| Last Update Date | 2024-06-05 |