| NPI | 1093251795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OGHENEREKE LISA OMAVUEZI Excutive Director 734-620-3946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |