| NPI | 1275511487 |
|---|---|
| Doing Business As | EVANGELICAL HOME - PORT HURON |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE G PETROSKEY CFO 313-836-3499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 744060) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2020-08-22 |