| NPI | 1174951644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN L WILKIE Owner 989-621-7366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AF560085646) |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2013-10-21 |