| NPI | 1194711408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSIE MAY STAFFORD Administrator 906-786-5810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 214010) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2014-01-28 |