| NPI | 1205264975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BETT Owner 269-471-3064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: MI AS110298360) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |