| NPI | 1174673594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD SANGSTER CFO 810-534-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 384020) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: MI 384020) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2022-05-05 |