NPI | 1104903590 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD JAMES BORTZ President 586-759-5966 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 834340) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2011-04-28 |