| NPI | 1245504240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE BUTTS CEO 810-767-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AL250006962) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |