| NPI | 1164852240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE DIEGEL Administrator 989-673-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: MI AM790009691) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |