| NPI | 1235679143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA DEMING Owner/Licensee 616-554-3661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AF410285580) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |