| NPI | 1124002910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA WHITE Administrator 269-381-4290 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 394090) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2012-01-18 |