NPI | 1083971089 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA PAIGE Owner/Vice President 810-732-6485 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS250293347) |
Enumeration Date | 2012-04-13 |
Last Update Date | 2012-04-13 |