| NPI | 1063105567 |
|---|---|
| Doing Business As | MILLER BEACH TERRACE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ADAM WOLF Owner 248-882-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-05-31 |