| NPI | 1114385390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA LITTLE Administrator 248-894-8248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: MI AS630349512) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |