| NPI | 1053742734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH E STOSIK Administrator 989-274-1391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AMO272455) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |