| NPI | 1093864878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN ANN WILLIAMS Registered Nurse 734-722-1454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MI 4704224487) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |