| NPI | 1235497009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEANNE N DIXON Administrator 616-842-0170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MI AH700236766) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |