| NPI | 1184803678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE FITCH Adminstrator 734-528-9881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: MI AS810287199) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |