| NPI | 1164597688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GANTON Administrator 517-787-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 38-4180) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2023-02-02 |