| NPI | 1215203054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS BURNETT Owner 810-238-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AM250289405) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |