| NPI | 1134121353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FELDMAN Administrator 313-921-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 834400) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2012-02-10 |