NPI | 1174845465 |
---|---|
Doing Business As | MIKKIS |
Entity Type | Organization |
Authorized Contact | SHANEQUA YENAE JORDAN Indepedent Contractor 313-808-3314 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH pn 115400) |
Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: MI 4703101185) |
Enumeration Date | 2010-02-27 |
Last Update Date | 2010-02-27 |