NPI | 1104125269 |
---|---|
Entity Type | Organization |
Authorized Contact | HELEN SMITH Owner & Operator 248-730-5005 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MI 4704202809) |
Enumeration Date | 2011-03-15 |
Last Update Date | 2011-03-15 |