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 |