| NPI | 1215934534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGOT D ROEDEL Administrator 989-673-4117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 798510) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2007-12-14 |