| NPI | 1053535005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY M WHALEY Administrator 989-892-0247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2016-04-07 |