| NPI | 1093243263 |
|---|---|
| Doing Business As | JENNIA WOODOCOCK |
| Entity Type | Organization |
| Authorized Contact | JENNIA MARI WOODCOCK Administrator 989-444-1597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI Am370085652) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2022-07-21 |