| NPI | 1104126754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IME ETUK Managing Director 616-881-3843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AF410306794) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-10-29 |