| NPI | 1194251181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LOUISE ADAMS Vice President 616-459-9331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: MI AL340338193) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: MI AL700338344) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |