| NPI | 1205252475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAWAD A SHAH President 810-732-8336 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| 273Y00000X Rehabilitation Unit | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2023-07-13 |