NPI | 1104132703 |
---|---|
Doing Business As | NONE |
Entity Type | Organization |
Authorized Contact | EUGENIA SMITH Owner 313-258-0261 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2010-08-20 |
Last Update Date | 2010-08-20 |