| NPI | 1033168406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH ANN STILL Administrator 231-924-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 628510) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2015-11-16 |