| NPI | 1114619491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMANTE KINORO Owner 616-954-5568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-05-24 |