| NPI | 1265763056 |
|---|---|
| Other Name | BWP COMMUNITY LIVING FACILITY |
| Entity Type | Organization |
| Authorized Contact | STEPHEN DOUGLAS KACMAR Executive Direcotr 231-728-2208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-01-19 |