| NPI | 1053306019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA EVANGELISTA Administrator/ Medical Director 734-727-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 235613) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2010-12-10 |