| NPI | 1033085410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANN RENEE WILLIAMS Director/CEO 313-979-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |