| NPI | 1194618595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONNE MORGAN Administrator 810-221-1585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-06-03 |