| NPI | 1154854719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSETTE T ALTIDOR Administrator 734-788-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL Al12988) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-12-11 |