| NPI | 1114467909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRI BALLA Owner 616-570-0046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AF410282195) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |