| NPI | 1093299901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET ALLEN Administrator 989-832-9026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2022-05-16 |