| NPI | 1245956945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONGETTA WOODEN Owner 313-525-7199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 174200000X Meals |
| 251E00000X Home Health | |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2022-10-13 |