| NPI | 1114052099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BOGAN CEO 906-483-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: MI 310020) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2010-10-07 |