| NPI | 1154705804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE WARNICK Owner 231-631-4355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AF280015720) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |