| NPI | 1144523903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY JEAN ROZIER Owner 313-740-1653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MI as8200305818) |
| 310500000X Intermediate Care Facility, Mental Illness (Licence: MI as8200305818) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI as8200305818) | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: MI as8200305818) | |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-23 |