NPI | 1174873665 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD HAROLD EBELING President 231-780-2229 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MI al601304298) |
Enumeration Date | 2012-09-12 |
Last Update Date | 2012-09-12 |