| NPI | 1144769506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA TILLMAN Licensee 616-243-4696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MI AS410363656) |
| Enumeration Date | 2017-02-18 |
| Last Update Date | 2017-02-18 |