| NPI | 1033105549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY STANARD Administrator 269-473-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 113010) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2020-08-22 |