| NPI | 1174295752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARVIND CHANDILYA CHAKRAVARTHY Physician 810-814-0963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2021-11-22 |