NPI | 1134583610 |
---|---|
Former Legal Business Name | CORNERHOUSE LLC |
Entity Type | Organization |
Authorized Contact | LYNN ERIC GERESY President 269-668-2143 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS800237410) |
Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS030369567) |
Enumeration Date | 2016-04-11 |
Last Update Date | 2016-04-11 |