| NPI | 1144970252 |
|---|---|
| Other Name | RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTY BATES Quality & Compliance Manager 734-497-9455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-08-08 |