| NPI | 1013926443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD SANGSTER CFO 810-534-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 834950) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies (Licence: MI 834950) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2022-05-05 |