| NPI | 1063586923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY M. TACKETT President 248-543-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 82-4510) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2025-03-20 |