| NPI | 1023445988 |
|---|---|
| Doing Business As | WOODLAND HOMES |
| Entity Type | Organization |
| Authorized Contact | LEDENILA TAGO FONNER President/Secretary 269-815-5190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: MI AS110299000) |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2013-10-08 |