| NPI | 1063028694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREEN ZIRKER Executive Director 313-367-7402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |