| NPI | 1144216417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY J. M. MALI President 248-577-2632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI L2044430) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MI 834210) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2012-03-23 |