| NPI | 1215026778 |
|---|---|
| Former Legal Business Name | NON |
| Entity Type | Organization |
| Authorized Contact | DANIEL W JAMES Administrator 313-923-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 834120) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |